Individual
JOHN ERIC HENRIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 HOSPITAL DRIVE, MAGNOLIA, AR 71753
(870) 235-3000
(870) 235-3557
Mailing address
PO BOX 629, MAGNOLIA, AR 71754-0629
(870) 235-3551
(870) 235-3557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2924
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E2924
AR MEDICAL BOARD
AR
Enumeration date
03/29/2006
Last updated
01/18/2008
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