Individual
DR. RUSSELL GERARD HENDRICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2633 NAPOLEON AVE STE 920, NEW ORLEANS, LA 70115-7408
(504) 533-8848
Mailing address
2633 NAPOLEON AVE STE 920, NEW ORLEANS, LA 70115-7408
(504) 533-8848
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
206717
LA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
206717
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00053345
—
MS
05
—
2384635
—
LA
Enumeration date
06/09/2008
Last updated
12/01/2016
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