Individual
DR. RICHARD ERIC HUETTEMANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7210 VILLAGE MEDICAL CIR STE 310, CLEMMONS, NC 27012-8041
(336) 277-4075
(336) 277-4070
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2024-02222
NC
208600000X
Surgery Physician
LL52558
SC
208C00000X
Colon & Rectal Surgery Physician
Primary
2024-02222
NC
Other
Enumeration date
06/07/2018
Last updated
09/05/2024
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