Individual
MICHAEL E HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7504 ANTIOCH RD, OVERLAND PARK, KS 66204-2622
(913) 341-3100
(913) 341-6818
Mailing address
PO BOX 803861, KANSAS CITY, MO 64180-3861
(913) 341-3100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-19356
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180012522
RAILROAD MEDICARE
—
Enumeration date
08/17/2005
Last updated
07/08/2008
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