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Individual
JERRY REED HENDEL
Active
Individual
JERRY REED HENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22506
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00798
MEDICA NUMBER FFMG
MN
05
—
0967638
—
IA
01
—
1008789
PREFERRED ONE NUMBER
MN
05
—
12222
—
ND
01
—
123435
U-CARE NUMBER
MN
05
—
336780100
—
MN
05
—
41091744413
—
NE
01
—
49843HE
BCBS NUMBER
MN
01
—
HP26572
HEALTHPARTNERS NUMBER
MN
Enumeration date
08/16/2006
Last updated
02/17/2017
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