Individual
MARCUS HENDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 802-3140
Mailing address
4685 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(317) 802-3140
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01062117
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200827550
—
IN
Enumeration date
06/07/2006
Last updated
04/22/2009
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