Individual
ELLEN MAKENZIE HENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25090 WOODWARD AVE APT 209, ROYAL OAK, MI 48067-0984
(989) 751-3514
Mailing address
25090 WOODWARD AVE APT 209, ROYAL OAK, MI 48067-0984
(989) 751-3514
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704308343
MI
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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