DR. Matthew Thomas Hendricks, OD

NPI #1104391325 in Saint Paul, Minnesota

Provider Information

NPI Number: 1104391325
Entity Type: Individual
Name: DR. Matthew Thomas Hendricks, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 4, 2018
Last Updated: Jan 10, 2023

Practice Location

Address: 401 PHALEN BLVD
City: Saint Paul
State: Minnesota
ZIP Code: 55130-5302
Phone: (651) 254-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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