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1043857196
DEREK HENDRICKSON
TRAVERSE CITY, MI
NPI
1043857196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601009719)
Enumeration Date
2019-12-09
Last Update Date
2021-03-15
Business Address
DEREK HENDRICKSON PA-C
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684-2369
Phone number: 231-935-5800
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Mailing Address
DEREK HENDRICKSON PA-C
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684-2369
Phone number: 231-935-5800
Copy
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