Individual
MR. JOHN C HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
75 SHELDON BLVD SE, SUITE 100, GRAND RAPIDS, MI 49503
(616) 391-6120
(616) 391-6125
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001665
MI
Other
Enumeration date
07/22/2005
Last updated
01/03/2014
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