Organization
MICHIGAN CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W HENNIG JR. DO (PRESIDENT)
(810) 720-7167
Entity
Organization
Contact information
Practice address
G 1386 SOUTH LINDEN, FLINT, MI 48532
(810) 720-1720
(810) 720-2358
Mailing address
G 1386 SOUTH LINDEN, FLINT, MI 48532
(810) 720-7167
(810) 720-7172
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060B51089
BLUE CROSS
—
01
—
CN9425
MEDICARE RAILROAD
—
Enumeration date
12/14/2006
Last updated
06/21/2010
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