Individual provider · Type 1 NPI
Vivian Hendrickson
Medical Physician Assistant · Gary, IN
NPI number
1871267955
Active
Practice location
1100 W 6th Ave
Gary, IN 46402-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1871267955
Vivian Hendrickson's National Provider Identifier is 1871267955, issued on Aug 3, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gary, IN. The record was last updated on Aug 3, 2021.