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Individual

WILLIAM E HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301079440
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104403951
MI
01
300133326
RAILROAD MEDICARE
MI
01
3102401362
BCBS
MI
Enumeration date
07/15/2005
Last updated
08/14/2018
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