Individual
DR. NATHAN R. HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-9400
Mailing address
2512 S 7TH ST # R200, MINNEAPOLIS, MN 55454-1404
(612) 626-7449
(612) 273-7959
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R-10362
IA
207XS0117X
Orthopaedic Surgery of the Spine Physician
11741886-1205
UT
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
70068
MN
Other
Enumeration date
06/11/2015
Last updated
12/15/2023
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