Individual
DR. MICHAEL DAVID HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2360 1ST ST, NAPA, CA 94559-2239
(707) 377-1007
Mailing address
104 MILLIKEN CREEK DR, NAPA, CA 94558-1241
(313) 930-0909
(248) 203-9110
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
4301029337
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4705694-10
—
MI
Enumeration date
10/18/2005
Last updated
06/23/2020
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