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Individual

DR. MARK S HENCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9855 HOSPITAL DR, STE 102A, MAPLE GROVE, MN 55369-4648
(763) 581-9220
Mailing address
9855 HOSPITAL DR, STE 102A, MAPLE GROVE, MN 55369-4648
(763) 581-9220

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30113
MN

Other

Enumeration date
11/30/2005
Last updated
01/14/2014
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