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Individual
PHILLIP TROY HENNING
Active
Individual
PHILLIP TROY HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
103684
MN
208100000X
Physical Medicine & Rehabilitation Physician
5101018506
MI
208100000X
Physical Medicine & Rehabilitation Physician
51136
MN
208100000X
Physical Medicine & Rehabilitation Physician
OL20000101
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
5101018506
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OP00002223
WA
Other
Enumeration date
09/22/2006
Last updated
03/01/2021
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