Hendricks Clinic PA

NPI #1104850510 in Hendricks, Minnesota

Provider Information

NPI Number: 1104850510
Entity Type: Organization
Organization Name: Hendricks Clinic PA
Primary Specialty: Family Medicine
Enumeration Date: Jul 10, 2006
Last Updated: Dec 28, 2009

Practice Location

Address: 501 E LINCOLN ST
City: Hendricks
State: Minnesota
ZIP Code: 56136-0026
Phone: (507) 275-3121

Authorized Official

Name: DR. TABB L MCCLUSKEY, DO
Title: OWNER PRESIDENT
Phone: (507) 275-3121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X
Family Medicine	207Q00000X	Primary

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