Individual
THEODORE L HETRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 242-7180
(717) 242-7299
Mailing address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 242-7180
(717) 242-7299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD018356E
PA
Other
Enumeration date
06/27/2006
Last updated
02/12/2008
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