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Individual
MICHAEL A HENISER
Active
Individual
MICHAEL A HENISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002
ME LICENSE
ME
05
—
432646399
—
ME
01
—
99691
ANTHEM
ME
Enumeration date
07/06/2006
Last updated
03/07/2013
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