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Organization

DOUGLAS J HENKE MD PC

Active
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Organization

DOUGLAS J HENKE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS JON HENKE M.D. (PRESIDENT)
(906) 779-4270
Entity
Organization

Contact information

Practice address
1711 S STEPHENSON AVE, SUITE 125, IRON MOUNTAIN, MI 49801-3639
(906) 779-4270
(906) 779-4276
Mailing address
1711 S STEPHENSON AVE, SUITE 125, IRON MOUNTAIN, MI 49801-3639
(906) 779-4270
(906) 779-4276

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
09/06/2006
Last updated
12/12/2012
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