Mike R Henrickson in Maplewood - General Practice

Mike R Henrickson - NPI 1629291380

Mike R Henrickson is a General Practice in Maplewood, Minnesota. Mike R Henrickson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mike R Henrickson is 1629291380. The last update date is 2007-07-08.

Mike R Henrickson's current location address is 1560 Beam Ave, Maplewood, Minnesota. You can contact this provider via phone number 6517778900 and fax number 6517778908. The mailing address for Mike R Henrickson is 1560 Beam Ave, Maplewood, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mike R Henrickson
Address 1560 Beam Ave, Maplewood, Minnesota
Phone Number 6517778900
Fax Number 6517778908
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1629291380
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1560 Beam Ave
City Maplewood
State Minnesota (MN)
Post Code 551091191
Phone Number 6517778900
Fax Number 6517778908

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D11920
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Mike R Henrickson

What is the unique identifier code issued to Mike R Henrickson by the Centers for Medicare & Medicaid Services (CMS)?

The Mike R Henrickson has been assigned the NPI (National Provider Identifier) 1629291380. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Mike R Henrickson's facilities are geographically located?

The facilities of Mike R Henrickson are physically situated at the following location: 1560 Beam Ave, Maplewood, MN, 551091191.

What is Mike R Henrickson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mike R Henrickson is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Mike R Henrickson receive its 1629291380 assignment from the Centers for Medicare & Medicaid Services?

The Mike R Henrickson was assigned its 1629291380 by the Centers for Medicare & Medicaid Services on 2007-04-11.

When was the Mike R Henrickson's information last updated?

The Mike R Henrickson's information was last updated on 2007-07-08.

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