Individual
MICHAEL HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504-5176
(616) 235-1480
Mailing address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504-5176
(616) 235-1480
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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