IndividualActive
Ronald Henrickson, MD
NPI 1902056252 · Otolaryngology/Facial Plastic Surgery Physician · Polson, MT
Provider details
- NPI number
- 1902056252
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4778 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
32318 Bisson Ln
Polson, MT 59860-7354
Phone: (406) 883-5723
Approximate (ZIP-level) locationGet directions
Mailing address
32318 Bisson Ln
Polson, MT 59860-7354
Registry dates
- Enumerated
- 2008-09-23
- Last updated
- 2008-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.