Individual
DR. MICHAEL SENTMAN HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
49 HARRY KEMP WAY, PROVINCETOWN, MA 02657-1618
(508) 432-1400
Mailing address
49 HARRY KEMP WAY, PROVINCETOWN, MA 02657-1618
(508) 432-1400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1102
GA
152W00000X
Optometrist
Primary
4789
MA
152W00000X
Optometrist
879
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D08793
—
SC
Enumeration date
04/25/2006
Last updated
08/23/2014
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