Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 4301102589 | MI |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 4301500474 | MI |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | R6207 | TX |
NPI | 1518305556 |
---|---|
Provider Name | Dr. Brittany Hedrick |
First Address | Detroit, MI 48201-2119 |
Second Address | Detroit, MI 48201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 05/08/2019 |