Individual
DR. ROMAN MICHAEL HENDRICKSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E CROFOOT ST, SHERIDAN, MT 59749
(406) 842-5056
(406) 842-5057
Mailing address
18 7M4R RD, SHERIDAN, MT 59749-9500
(406) 842-7581
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
9867
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00554470
—
MT
01
—
94575
BCBS
—
Enumeration date
10/05/2005
Last updated
08/25/2011
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