Individual
DAVID J HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-7000
(608) 791-7808
Mailing address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-7000
(608) 791-7808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19372
WI
Other
Enumeration date
10/26/2005
Last updated
01/24/2012
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