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Individual
MR. DOUGLAS EDWIN HENRICH
Active
Individual
MR. DOUGLAS EDWIN HENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
31549
IA
207KA0200X
Allergy Physician
31549
IA
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
31549
IA
207Y00000X
Otolaryngology Physician
Primary
31549
IA
Other
Enumeration date
01/24/2006
Last updated
02/24/2015
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