Individual
DR. MARK R HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 MICHIGAN AVE E, SUITE 5, BATTLE CREEK, MI 49014-6832
(269) 969-6014
(269) 969-6085
Mailing address
1125 MICHIGAN AVE E, SUITE 5, BATTLE CREEK, MI 49014-6832
(269) 969-6014
(269) 969-6085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4227999
—
MI
Enumeration date
06/07/2006
Last updated
04/29/2008
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