Individual
WINTHROP BRIAN HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4506 1ST AVE, EVANSVILLE, IN 47710-3324
(812) 428-6161
(812) 421-2883
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 428-6161
(812) 421-2883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001992A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200197810
—
IN
01
—
P00331472
RR MEDICARE
IN
Enumeration date
09/16/2005
Last updated
07/23/2013
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