Ronald Russell Henrickson
Otolaryngology/Facial Plastic Surgery
32318 Bisson Ln
Polson
, Montana 59860-7354
Ronald Russell Henrickson
Otolaryngology/Facial Plastic Surgery
32318 Bisson Ln
Polson
, Montana 59860-7354
(406) 883-5723
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Ronald Russell Henrickson
- 32318 Bisson Ln
- Polson, MT
- Zip : 59860-7354
- Phone : (406) 883-5723
Second Address
- Ronald Russell Henrickson
- 32318 Bisson Ln
- Polson, MT
- Zip : 59860-7354
- Phone : (406) 883-5723
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4778 | MT |
National Provider Identifier
| NPI | 1902056252 |
|---|---|
| Provider Name | Ronald Russell Henrickson |
| First Address | Polson, MT 59860-7354 |
| Second Address | Polson, MT 59860-7354 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2008 |
| Last Update Date | 23/09/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.