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DOUGLAS R HENNEBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1000 E HENRIETTA RD, ROCHESTER, NY 14623-5701
(585) 292-2848
Mailing address
1000 E HENRIETTA RD, ROCHESTER, NY 14623-5701
(585) 292-2848

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
001092
NY

Other

Enumeration date
05/17/2021
Last updated
05/17/2021
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