Individual
ANDREA ELIZABETH HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
615 NIAGARA CT, UMD HEALTH SERVICES, DULUTH, MN 55812-3065
(218) 726-8155
(218) 726-6132
Mailing address
5290 LAKEWOOD ROAD, DULUTH, MN 55804
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9308
MN
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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