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PAUL L HENDRICKSON MD
NPI 1679514210
Family Medicine in Detroit Lakes, MN

Active since June 08, 2006
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 847-5611(218) 847-0881 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul L Hendrickson Md NPPES

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

PAUL L HENDRICKSON MD (NPI 1679514210) is an individual family medicine provider in Detroit Lakes, Minnesota, licensed in Minnesota (032152) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1679514210
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL L HENDRICKSONCredential: MD
Location Address1027 WASHINGTON AVEDetroit Lakes, MN 56501-3409
Mailing Address1027 Washington AveDetroit Lakes, MN 56501-3409 · (218) 847-5611 · Fax (218) 847-0881
Phone(218) 847-5611
Fax(218) 847-0881
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateNovember 21, 2011
✔ NPI 1679514210 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 · 032152
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.
1027 WASHINGTON AVE, Detroit Lakes, MN 56501
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Other Identifiers 15

Other10440MN · Ndbs #
Other0106054MN · Medica #
Other0106545MN · Medica #
Medicare ID-Type Unspecified080041905MN · Rr Medicare #
Medicare UPINE25357MN
OtherDA9031015654MN · Preferred One #
Other901108MN · America's Ppo/araz #
Other28232HEMN · Mnbs #
Medicare ID-Type Unspecified089004398MN · Mn Medicare #
OtherHP19489MN · Healthpartners #
Other108034MN · Ucare #
OtherMN1000020MN · Lhs/bannerhealth #
Other2223MN · Sioux Valley #
Medicaid16005MN
Medicaid300793600MN

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.

MELISSA M HOFFMAN
Occupational Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 847-5611
LAURA LOU LHOTKA MD
Family Medicine
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 844-2300
MICHELE JOANNE KNOBLICH OT
Occupational Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 847-5611
CLAIRE WOLHOWE
Physician Assistant
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 844-2300
JENNA B MAZOUR APRN,CNP
Nurse Practitioner (Family)
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 844-2347
KELSEY WILBERG PT
Physical Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 847-5611
MONICA KEMPER
Physical Therapist
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 847-5611
DR. MARK ALAN ROSENBLUM PSYD, LP
Psychologist (Clinical)
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
Becker County (218) 786-8364

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 Paul Hendrickson's NPI number?

The NPI number for Paul Hendrickson is 1679514210. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Paul Hendrickson located?

Paul Hendrickson practices at 1027 Washington Ave, Detroit Lakes, MN 56501. The listed phone number is (218) 847-5611.

What is Paul Hendrickson'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 Paul Hendrickson was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.