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Individual
DR. ROBERT K HENRICHSEN
Active
Individual
DR. ROBERT K HENRICHSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G14911
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP863
MEDICARE PTAN
CA
01
—
G14911
MEDICAL LICENSE
CA
Enumeration date
12/13/2006
Last updated
03/07/2023
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