Mark R Hendricks in Sheboygan - Internal Medicine
Mark R Hendricks - NPI 1194768127
Mark R Hendricks is a Internal Medicine in Sheboygan, Wisconsin. Mark R Hendricks practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark R Hendricks is 1194768127. The last update date is 2010-01-15.
Mark R Hendricks's current location address is 3100 Superior Ave, Sheboygan, Wisconsin. You can contact this provider via phone number 9204964700. The mailing address for Mark R Hendricks is 3100 Superior Ave, Sheboygan, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Hendricks |
|---|---|
| Address | 3100 Superior Ave, Sheboygan, Wisconsin |
| Phone Number | 9204964700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194768127 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2010-01-15 |
Provider Mailing Address Detail
| Address | 3100 Superior Ave |
|---|---|
| City | Sheboygan |
| State | Wisconsin (WI) |
| Post Code | 530811948 |
| Phone Number | 9204964700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 24824 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31417300 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark R Hendricks by the Centers for Medicare & Medicaid Services?
The Mark R Hendricks has been issued the NPI (National Provider Identifier) 1194768127. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mark R Hendricks is physically located?
The Mark R Hendricks is situated at the following address: 3100 Superior Ave, Sheboygan, WI 530811948.
What is Mark R Hendricks's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark R Hendricks's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Mark R Hendricks receive its 1194768127 assignment from the Centers for Medicare & Medicaid Services?
The Mark R Hendricks was assigned its 1194768127 by the Centers for Medicare & Medicaid Services on 2006-06-14.
As of what date were the details related to Mark R Hendricks most recently updated or revised?
The information pertaining to Mark R Hendricks, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-15.