Individual
DR. RUTH ELLEN HETLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2235 CLINTON AVE S, ROCHESTER, NY 14618-2623
(585) 454-6720
(585) 454-7328
Mailing address
2235 CLINTON AVE S, ROCHESTER, NY 14618-2623
(585) 454-6720
(585) 454-7328
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
149798
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00718956
—
NY
Enumeration date
04/27/2006
Last updated
12/18/2012
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