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Individual

DR. MATTHEW HENNRIKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
GUAM NAVAL HOSPITAL, 50 FARENHOLT AVE, AGANA HEIGHTS, GU 96910
(167) 134-4922
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
0101279473
VA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
0101279473
VA
2083X0100X
Occupational Medicine Physician
0101279473
VA
208D00000X
General Practice Physician
Primary
0101279473
VA

Other

Enumeration date
03/06/2022
Last updated
11/30/2023
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