Individual
MELISSA JO HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2372 HARMON LN N, MANDAN, ND 58554-8271
(701) 214-7442
(701) 751-5705
Mailing address
PO BOX 661, MANDAN, ND 58554-0661
(701) 214-7442
(701) 751-5705
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9938
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14408
—
ND
Enumeration date
03/30/2007
Last updated
11/04/2014
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