AMBER R HETRICK

FORT WAYNE, IN
NPI1508270810
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IN  01079967A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN  11017870A)
Enumeration Date2014-06-13
Last Update Date2022-10-11
Business Address
AMBER R HETRICK M.D.
11104 PARKVIEW CIRCLE DR STE 110
FORT WAYNE, IN 46845-1673
Phone number: 260-425-6780
Mailing Address
AMBER R HETRICK M.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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