Individual provider · Type 1 NPI

Derek Hendrickson, PA-C

Medical Physician Assistant · Traverse City, MI

NPI number 1043857196 Active

Practice location

1200 Sixth St Ste 200
Traverse City, MI 49684-2369

Fax (231) 935-5799

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601009719 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1043857196

Derek Hendrickson, PA-C's National Provider Identifier is 1043857196, issued on Dec 9, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Traverse City, MI. The record was last updated on Mar 15, 2021.