Individual
MELISSA CHRISTINE HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2300
Mailing address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101028131
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2016
Last updated
07/16/2024
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