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Individual

WILLIAM C HENKE

Active
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Individual

WILLIAM C HENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5010
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106052
MEDICA #
MN
01
—
0122661
MEDICA #
MN
01
—
124772
UCARE #
MN
01
—
1277
NDBS #
ND
05
—
16651
—
MN
01
—
23630HE
MNBS #
MN
05
—
281808600
—
MN
01
—
598579
AMERICA'S PPO/ARAZ #
MN
01
—
6404
MNBS #
MN
01
—
DA9031015663
PREFERRED ONE #
MN
01
—
MN100021
LHS/BANNERHEALTH #
MN
Enumeration date
06/07/2006
Last updated
11/21/2011
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