Individual
DR. JOHN C HENDRICKS
Active
Individual
DR. JOHN C HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301033379
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107985
GREAT LAKES HLTH PLAN
—
01
—
1803968251
BCBS PIN
MI
05
—
4238221-10
—
MI
05
—
4999314
—
MI
01
—
5276514
AETNA PIN
—
Enumeration date
06/14/2006
Last updated
12/15/2014
Update your record
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