Individual
JONATHAN EDWARD HENDRZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
(910) 667-5650
Mailing address
2523 DELANEY AVE, WILMINGTON, NC 28403-6003
(910) 763-5522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HEND-GK3L8H
NC
390200000X
Student in an Organized Health Care Education/Training Program
HEND-GK3L8H
NC
Other
Enumeration date
03/25/2022
Last updated
03/29/2023
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