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Contact Information

DAVID R HENDRICKS, MD
153 1/2 E FRONT ST
TRAVERSE CITY, MI49684-5729
 Phone: 231-941-6670
 Fax: 231-941-6675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DAVID R HENDRICKS · (Male)

NPI Number 1013066406
Status Active
Credentials MD
Entity Individual
Enumeration date 01/09/2007
Last updated 03/28/2017 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 1687824
  • MI Medicaid 4858998
  • MI Other 11-0-28-1081-1 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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