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Individual

DR. MICHELLE FERN HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
261157
NY
207R00000X
Internal Medicine Physician
BP10031166
TX

Other

Enumeration date
01/27/2009
Last updated
07/12/2013
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