Amanda M. Hetzel, DC

Chiropractor · Green Lake, WI

Individual Active NPI

NPI number 1013566421

Practice location

505 Lake St
Green Lake, WI 54941-8820
Phone
(920) 294-3130
Fax
(920) 294-3238

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NPI record

NPI
1013566421
Entity type
Individual (Type 1)
Enumeration date
September 9, 2019
Last updated
August 28, 2022
Certified
August 28, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 5477-12 WI

Mailing address

PO Box 458
Green Lake, WI 54941-0458
Phone
(920) 294-3130
Fax
(920) 294-3238

Other practice locations (1)

  • W7841 State Road 21 73, Wautoma, WI 54982-5219 · (920) 787-0081

About Dr. Hetzel

Amanda M. Hetzel, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 505 Lake St, Green Lake, WI 54941-8820. The NPI number 1013566421 was assigned on September 9, 2019 and the record was last updated on August 28, 2022.

Dr. Hetzel lists a license in the registry: #5477-12 (WI) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda M. Hetzel, DC?

The NPI number is 1013566421.

What is the phone number of Dr. Hetzel?

The phone number listed for the practice location is (920) 294-3130.

Where is Dr. Hetzel located?

505 Lake St, Green Lake, WI 54941-8820.

What is the taxonomy code for Dr. Hetzel?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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