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Individual

DR. JOEL H. HENDRICKSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 480-4100
Mailing address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 480-4100

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25992
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39-42042
MEDICA
MN
01
8D640HE
BLUE CROSS
MN
01
984810186029
PREFERRED ONE
MN
01
HP16378
HEALTHPARTNERS
MN
Enumeration date
03/17/2006
Last updated
07/08/2007
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