Gerald Wayne Henrickson, MD | |
49725 County 83, Staples, MN 56479-5280 | |
(218) 894-1515 | |
(218) 894-8767 |
Full Name | Gerald Wayne Henrickson |
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Gender | Male |
Speciality | Family Medicine |
Location | 49725 County 83, Staples, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043200678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 24069 (Minnesota) | Primary |
Entity Name | Lakewood Health System |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1295726362 PECOS PAC ID: 1052229671 Enrollment ID: O20070618000309 |
Mailing Address | Practice Location Address |
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Gerald Wayne Henrickson, MD 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 | Gerald Wayne Henrickson, MD 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 |
Jordan Robert Moe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 | |
Dr. Stephanie Jo Kray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 | |
Arden Milton Beachy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-1316 | |
Ryan M Kroll, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 | |
Christine Sara Albrecht, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 | |
Alex K Harsha Bangura, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |