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Individual

MR. MICHAEL W HENDRICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
903 OAK ST, BURLINGTON, IA 52601-4608
(319) 758-9133
(319) 758-9143
Mailing address
PO BOX 156, BURLINGTON, IA 52601-0156
(319) 758-9133
(319) 758-9143

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
26178
IA
207X00000X
Orthopaedic Surgery Physician
Primary
26178
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043539
IA
01
46204
BLUE CROSS BLUE SHEILD
IA
Enumeration date
07/20/2006
Last updated
04/16/2025
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