Individual
DR. BRETT HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10150 NIAGARA LN N, MAPLE GROVE, MN 55369-7588
(612) 870-5491
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
70679
MN
Other
Enumeration date
07/07/2016
Last updated
07/26/2022
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