Individual
MICHAEL A HENISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16 COMMUNITY LN, SOUTHWEST HARBOR, ME 04679-4273
(207) 244-5630
(207) 244-2801
Mailing address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002
ME LICENSE
ME
05
—
432646399
—
ME
01
—
99691
ANTHEM
ME
Enumeration date
07/06/2006
Last updated
03/07/2013
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