Individual
MR. STEPHEN HENRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 RED FOX CT, MASON CITY, IA 50401-2573
(641) 420-4451
Mailing address
216 RED FOX CT, MASON CITY, IA 50401-2573
(641) 420-4451
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IA
Other
Enumeration date
03/18/2015
Last updated
07/21/2022
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