Individual
CAROLINE N HENEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
840 OAKWOOD BLVD, DEARBORN, MI 48124-2319
(313) 359-7650
Mailing address
840 OAKWOOD BLVD, P.O. BOX 2802, DEARBORN, MI 48124-2319
(313) 359-7650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101015244
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4985515
—
MI
05
—
4985524
—
MI
Enumeration date
02/21/2007
Last updated
08/10/2007
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