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GERALD WAYNE HENRICKSON MD
NPI 1043200678
Family Medicine in Staples, MN

Active since October 25, 2005
49725 COUNTY 83, STAPLES, MN 56479(218) 894-1515(218) 894-8767 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Wayne Henrickson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERALD WAYNE HENRICKSON MD (NPI 1043200678) is an individual family medicine provider in Staples, Minnesota, licensed in Minnesota (24069) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1043200678
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGERALD WAYNE HENRICKSONCredential: MD
Location Address49725 COUNTY 83Staples, MN 56479-5280
Mailing Address49725 County 83Staples, MN 56479-5280 · (218) 894-1515 · Fax (218) 894-8767
Phone(218) 894-1515
Fax(218) 894-8767
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateFebruary 12, 2010
✔ NPI 1043200678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 24069
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
49725 COUNTY 83, Staples, MN 56479
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Other Identifiers 2

Medicare ID-Type Unspecified080014520
Medicare UPIND48641MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKEWOOD HEALTH SYSTEM
Durable Medical Equipment & Medical Supplies
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
KELLY VANVICKLE
Nurse Practitioner (Women's Health)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
MARISSA ELIZABETH BAUMGARTNER PA-C
Physician Assistant
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
JORDAN ROBERT MOE M.D.
Family Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
KYLIE OLSON
Speech-Language Pathologist
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-8427
LUANN ANNETTE GAMMON LICSW
Social Worker (Clinical)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
PAIGE MARIE CARLSON MD
Internal Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
CHELSEY LEE OLANDER CNP
Nurse Practitioner (Family)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Henrickson's NPI number?

The NPI number for Gerald Henrickson is 1043200678. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Gerald Henrickson located?

Gerald Henrickson practices at 49725 County 83, Staples, MN 56479. The listed phone number is (218) 894-1515.

What is Gerald Henrickson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gerald Henrickson was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.