Individual
DR. HEATHER STEPHANIE HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 I ST, LA PORTE, IN 46350-5533
(219) 324-1700
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01060598A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200529530B
—
IN
Enumeration date
03/31/2006
Last updated
11/24/2025
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