Individual
MAX ALAN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1930 DOCTORS PARK DR, COLUMBUS, IN 47203-2219
(812) 372-4463
(812) 372-2802
Mailing address
1930 DOCTORS PARK DR, COLUMBUS, IN 47203-2219
(812) 372-4463
(812) 372-2802
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01030454
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100052270
—
IN
05
—
200823550A
—
IN
05
—
200823550B
—
IN
Enumeration date
07/19/2006
Last updated
04/24/2014
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