Individual
DR. CHARLES MICHAEL HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2692
(513) 862-7041
Mailing address
4685 FOREST AVE, SUITE C, CINCINNATI, OH 45212-3359
(513) 853-4721
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.077223
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2740001
—
OH
Enumeration date
01/08/2007
Last updated
02/24/2015
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