Individual
JERRY REED HENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 E 7TH ST, MORRIS, MN 56267-1312
(320) 589-4008
(218) 739-6718
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
(218) 739-6718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22506
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00798
MEDICA NUMBER FFMG
MN
05
—
0967638
—
IA
01
—
1008789
PREFERRED ONE NUMBER
MN
05
—
12222
—
ND
01
—
123435
U-CARE NUMBER
MN
05
—
336780100
—
MN
05
—
41091744413
—
NE
01
—
49843HE
BCBS NUMBER
MN
01
—
HP26572
HEALTHPARTNERS NUMBER
MN
Enumeration date
08/16/2006
Last updated
02/17/2017
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