Michael A Hetrick, MD

NPI #1114958931 in La Grande, Oregon

Provider Information

NPI Number
1114958931
Entity Type
Individual
Name
Michael A Hetrick, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
MD
Enumeration Date
Jul 6, 2006
Last Updated
Dec 18, 2007

Practice Location

Address
612 SUNSET DR
State
Oregon
ZIP Code
97850-1248
Phone
(541) 663-3150

Specialties & Taxonomy Codes

Specialty
Pediatrics

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