Individual
DR. MATTHEW JOHN HENRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
5184 THEATER LANE NW, BEMIDJI, MN 56601
(218) 751-8099
(218) 751-8133
Mailing address
PO BOX 875, BEMIDJI, MN 56619-0875
(218) 751-8099
(218) 751-8133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4890
MN
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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