Individual
BRIAN HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP4975
MN
Other
Enumeration date
02/17/2017
Last updated
10/05/2020
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