Individual
WILLIAM P HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7900 W JEFFERSON BLVD, SUITE 304, FORT WAYNE, IN 46804-4128
(260) 435-6200
(260) 435-6201
Mailing address
PO BOX 8857, FORT WAYNE, IN 46898-8857
(260) 969-6200
(260) 969-6201
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01053048A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200285270
—
IN
05
—
200285270B
—
IN
Enumeration date
06/06/2006
Last updated
11/06/2013
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