Individual
MICHEAL HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-5600
Mailing address
222 N 7TH ST BISMARCK ND 58501, BISMARCK, ND 58501
(701) 323-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
11/19/2018
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