Individual
PETER A HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E WISCONSIN AVE, SUITE 2100, MILWAUKEE, WI 53202-4815
(414) 290-6700
Mailing address
111 E WISCONSIN AVE, SUITE 2100, MILWAUKEE, WI 53202-4815
(414) 290-6700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036113654
IL
207P00000X
Emergency Medicine Physician
51947-20
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
227795
MA
Other
Enumeration date
05/30/2006
Last updated
10/07/2008
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