Henrickson, Gerald Wayne

Henrickson, Gerald Wayne is an individual health care provider with primary practice located at 49725 County 83 , Staples MN 56479-5280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henrickson, Gerald Wayne can be contacted via phone (218) 894-1515.

Contact Information

Primary practice address
49725 County 83 Staples MN 56479-5280
Phone: (218) 894-1515
Fax: (218) 894-8767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24069 Minnesota

Profile Details

NPI number 1043200678
LBN Legal business name Henrickson, Gerald Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Feb 12th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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