Search › Minnesota › 1223G0001X
Myron Henrickson, DDS
NPI 1023231776 · on the registry since 2007 · sole proprietor
Practice
- Address
- 17436 Kenwood Trl
Lakeville, MN 55044 - Phone
- (952) 241-5899
- Fax
- (952) 241-5897
- Organisation at this address
- Pdg, P.A.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 17436 Kenwood Trl, Lakeville, MN
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota