MEDICARE: CARL HENDRICKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	5302026119	MI

General Provider Information

NPI Number	:	1174651442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARL HENDRICKS

Provider Business Mailing Address
First Line	:	753 GLENEAGLES
Second Line	:
City	:	HIGHLAND
State	:	MI
Zip	:	48357-4778
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 N PONTIAC TRL
Second Line	:
City	:	WALLED LAKE
State	:	MI
Zip	:	48390-3443
Country	:	US
Telephone Number	:	248-669-2776
Fax Number	:	248-669-2835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1285627802 — JULIE MARIE MICHELI PA C
Practice Location Address:

620 N PONTIAC TRL
WALLED LAKE, MI
48390-3443

Practice Phone: 248-624-4511
Practice Fax: 248-624-4408

1902896749 — DR. GARY M HOLLANDER DO
Practice Location Address:

620 N PONTIAC TRL
WALLED LAKE, MI
48390-3443

Practice Phone: 248-624-4511
Practice Fax: 248-624-4408

1386772648 — KAREN HENDRICKS
Practice Location Address:

620 N PONTIAC TRL
WALLED LAKE, MI
48390-3443

Practice Phone: 248-669-2776
Practice Fax: 248-669-2835

1790901072 — GARY HOLLANDER DO PLC
Practice Location Address:

620 N PONTIAC TRL
WALLED LAKE, MI
48390-3443

Practice Phone: 248-624-4511
Practice Fax: 248-624-4408

1336149970 — DR. TIMOTHY R DURKIN D.D.S.
Practice Location Address:

3443 LAKE TAHOE BLVD , SUITE #B
SOUTH LAKE TAHOE, CA
96150-8910

Practice Phone: 530-544-3426
Practice Fax: 530-542-7710

1174577753 — CANYON CREEK HOME HEALTH CARE LLC
Practice Location Address:

3443 S STATE ST STE 9
SOUTH SALT LAKE, UT
84115-4914

Practice Phone: 801-251-1595
Practice Fax: 801-251-1599

Directions to “ CARL HENDRICKS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.