Individual
BETH ANN HEDKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8950 MACOMB ST, GROSSE ILE, MI 48138-1577
(734) 307-7037
Mailing address
8950 MACOMB ST, GROSSE ILE, MI 48138-1577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000623
MI
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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