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Individual

STEVEN R HENDRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25631 LITTLE MACK AVE LOWR LEVEL, SAINT CLAIR SHORES, MI 48081-2100
(586) 443-2998
(586) 443-2309
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301063383
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4754008
MI
Enumeration date
01/23/2006
Last updated
07/28/2022
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