Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKE DUANE HETLAND
Active Sole ProprietorMIKE DUANE HETLAND is a Substance Abuse Rehabilitation Facility healthcare provider located in MERCED, California. NPI 1760681472 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · MERCED, CA
Registration Details
- NPI Number
- 1760681472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2007 (19.134288449336 yrs)
- Last Updated
- Jul 12, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
1301 YOSEMITE PKWYMERCED, CA, 953405203Browse CA providers · Browse ZIP 95340
- Phone
- 2097226335
- Fax
- 2097226371
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.