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Individual

RYAN MATTHEW HENDRICKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
304 10TH AVE NE, HICKORY, NC 28601-3883
(828) 322-2183
Mailing address
8600 N. RT. 91, SUITE 300, PEORIA, IL 61615
(309) 691-6616
(309) 691-2943

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2018-01301
NC
207Y00000X
Otolaryngology Physician
36.125963
IL
207Y00000X
Otolaryngology Physician
57.010493
OH

Other

Enumeration date
04/18/2007
Last updated
08/29/2018
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