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Individual
MR. MICHAEL W HENDRICKS
Active
Individual
MR. MICHAEL W HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
26178
IA
207X00000X
Orthopaedic Surgery Physician
Primary
26178
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043539
—
IA
01
—
46204
BLUE CROSS BLUE SHEILD
IA
Enumeration date
07/20/2006
Last updated
04/16/2025
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