Individual
DR. WILLIAM L HENNRIKUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 HOPE DR STE 2200, HERSHEY, PA 17033-2036
(717) 531-7123
(717) 531-0385
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD058456L
PA
207XP3100X
Pediatric Orthopaedic Surgery Physician
A41574
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD058456L
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD058456L
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD058456L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A415740
—
CA
05
—
1022383500001
—
PA
05
—
GR0085690
—
CA
Enumeration date
07/13/2006
Last updated
09/18/2018
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