Individual
DR. GARY LEE HENRIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
362 GREYWOLF RD, SEQUIM, WA 98382-7574
(360) 683-7784
Mailing address
362 GREYWOLF RD, SEQUIM, WA 98382-7574
(360) 683-7784
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
MD00014466
WA
2083X0100X
Occupational Medicine Physician
Primary
MD00014466
WA
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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