Individual
DR. RYAN MICHAEL HETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1720 DOLPHIN CT, SUITE E, WAUKESHA, WI 53186-1429
(262) 547-7441
(262) 547-1971
Mailing address
17618 NASSAU DR, BROOKFIELD, WI 53045-3469
(414) 588-7732
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4272-012
WI
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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