Individual provider · Type 1 NPI
Ryan Michael Hetzel, DC
Chiropractor · Waukesha, WI
NPI number
1003955808
Active
Practice location
1720 Dolphin Ct, Suite E
Waukesha, WI 53186-1429
Fax (262) 547-1971
Mailing address
17618 Nassau Dr
Brookfield, WI 53045-3469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4272-012 (WI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1003955808
Ryan Michael Hetzel, DC's National Provider Identifier is 1003955808, issued on Feb 6, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Waukesha, WI. The record was last updated on Jul 8, 2007.