Individual
SYDNEY LIEDEL HATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7300 DEXTER ANN ARBOR RD, DEXTER, MI 48130-8598
(734) 539-5000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704322294
MI
363LF0000X
Family Nurse Practitioner
4704322294
MI
Other
Enumeration date
08/19/2020
Last updated
10/28/2025
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