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Individual

PAMELA HETRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M.

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3941
Mailing address
PO BOX 781389 ATT: DELIA M BARTLETT, DETROIT, MI 48278-0001

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221303
UNISON
OH
01
000000509166
ANTHEM
OH
05
2468575
OH
01
363634
WELLCARE
OH
01
7173569
AETNA
OH
01
738062
BUCKEYE
OH
Enumeration date
07/13/2006
Last updated
03/02/2021
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