Individual
CHARLES HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 HANCOCK ST, BAR HARBOR, ME 04609-1714
(207) 288-8615
(207) 288-2448
Mailing address
17 HANCOCK ST, BAR HARBOR, ME 04609-1714
(207) 288-8615
(207) 288-2448
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
012628
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033411
ANTHEM
ME
Enumeration date
06/28/2006
Last updated
07/09/2007
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