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WARREN C HENDRICKSON
OHIO COLLEGE OF PODIATRIC MEDICINE
WARREN C HENDRICKSON is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1659487528. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2062311699. The primary specialty is PODIATRY. The organization is . The address is 3074 GOLD DUST NE, , BELMONT, MI, 493069510. The zip code is 493069510.
| Nation Provider ID | 1659487528 |
|---|---|
| PAC ID by PECOS | 2062311699 |
| Professional Enrollment ID | I20040102000670 |
| Name | WARREN C HENDRICKSON |
| Medical School Name | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | PODIATRY |
| All secondary specialties | |
| Organization Name | |
| Group Practice PAC ID | |
| Number of Group Practice members | 0 |
| Address | 3074 GOLD DUST NE, , BELMONT, MI, 493069510 |
| Hospital affiliation LBN | |
| Graduation Year | 1982 |
| Contact Number | 6162411000 |
| Email Address | [Show_Email_ID] |
| Phone Number | [Show_Phone] |
| Website | [Show_Website] |