Most Relevant Information
Provider Data
| NPI Number: | 1003520909 |
| Provider Name: | COURTNEY MARIE HETTEL |
| Entity Type: | Individual |
| Taxonomy Code: | 163WM0705X |
| Specialty: | Registered Nurse |
| License Number: | 4704361174 |
Most Important Dates
| Enumeration Date: | 01/06/2023 |
| Last Updated: | 10/03/2024 |
Provider Practice Location
2065 SOUTH CENTER RD
BURTON
MI
48519
Practice Location Phone/Fax
| Phone: | 8102352004 |
| Fax: |
Provider Mailing Location
2065 SOUTH CENTER RD
BURTON
MI
48519
Provider Mailing Phone/Fax
| Phone: | 8103387696 |
| Fax: |