Karol J Hendrickson Do Pc | |
4669 12th Rd Escanaba MI 49829-9605 | |
(906) 786-9391 | |
Not Available |
Full Name | Karol J Hendrickson Do Pc |
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Speciality | Family Medicine - Adult Medicine |
Location | 4669 12th Rd, Escanaba, Michigan |
Authorized Official Name and Position | Cynthia R Moore (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 7342075226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Karol J Hendrickson Do Pc 4669 12th Rd Escanaba MI 49829-9605 Ph: (906) 786-9391 | Karol J Hendrickson Do Pc 4669 12th Rd Escanaba MI 49829-9605 Ph: (906) 786-9391 |
NPI Number | 1922236942 |
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Provider Enumeration Date | 06/29/2009 |
Last Update Date | 07/30/2009 |
Identifier | Type | State | Issuer |
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1922236942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | 5101012173 (Michigan) | Primary |
Bright Star Enterprises, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 12th Rd, Escanaba, MI 49829 Phone: 906-786-9391 | |