Individual
ANDREW J HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1270 E STATE ROAD 205 STE 240, COLUMBIA CITY, IN 46725-8506
(260) 248-9230
(260) 248-9249
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11019330A
IN
Other
Enumeration date
06/06/2017
Last updated
10/10/2022
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