Individual
MEREDITH HENGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5250 AUTO CLUB DR STE 290A, DEARBORN, MI 48126-2619
(231) 510-4225
Mailing address
5250 AUTO CLUB DR STE 290A, DEARBORN, MI 48126-2619
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4351053287
MI
207R00000X
Internal Medicine Physician
125082385
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2023
Last updated
06/21/2024
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