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Individual

DR. MARK F HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
430 BATH RD, SUITE 102, BRUNSWICK, ME 04011-2637
(207) 442-0350
(207) 442-0355
Mailing address
430 BATH RD, SUITE 102, BRUNSWICK, ME 04011-2637
(207) 442-0350
(207) 442-0355

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
011476
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270740099
ME
Enumeration date
03/16/2006
Last updated
01/23/2015
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