SearchMichigan101YP2500X

Jeffrey Hendricks

NPI 1598017030 · on the registry since 2012 · sole proprietor

Practice

Address
5450 W Outer Dr
Detroit, MI 48235
Phone
(313) 861-8515
Fax
(313) 341-9801

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-10-08

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 Michigan