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NPI Code Detail

MEDICARE: DR. MICHAEL DAVID HENDRICK MD

MEDICARE: DR. MICHAEL DAVID HENDRICK MD
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
1207Q00000XFamily Medicine PhysicianA76309CA

General Provider Information

NPI Number : 1568492015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DAVID HENDRICK MD
Provider Business Mailing Address
First Line : 1900 GARDEN RD STE 100
Second Line :
City : MONTEREY
State : CA
Zip : 93940-5334
Country : US
Telephone Number : 831-375-4945
Fax Number : 831-375-4779
Provider Business Practice Location Address
First Line : 1900 GARDEN RD STE 100
Second Line :
City : MONTEREY
State : CA
Zip : 93940-5334
Country : US
Telephone Number : 831-375-4945
Fax Number : 831-375-4779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 08/09/2022

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Directions to “ DR. MICHAEL DAVID HENDRICK MD” Practice Location

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