Organization
BRIGHT STAR ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAROL JOANNE HENDRICKSON D.O. (VICE PRESIDENT)
(906) 786-9391
Entity
Organization
Contact information
Practice address
4669 12TH RD, ESCANABA, MI 49829-9605
(906) 786-9391
Mailing address
4669 12TH RD, ESCANABA, MI 49829-9605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012173
MI
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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