Individual
DR. DANIEL LEE HETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2311 N PROSPECT AVE, MILWAUKEE, WI 53211-4445
(414) 319-3000
(414) 319-3033
Mailing address
4425 N PORT WASHINGTON RD, GLENDALE, WI 53212-1082
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-115746
IL
207R00000X
Internal Medicine Physician
Primary
54809
WI
Other
Enumeration date
08/30/2006
Last updated
01/04/2016
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