Individual
GEORGE T HENNING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 EAST HURON RIVER DRIVE, YPSILANTI, MI 48197-0995
(734) 712-3595
(734) 712-5344
Mailing address
5301 EAST HURON RIVER DRIVE, YPSILANTI, MI 48197-0995
(734) 712-3595
(734) 712-5344
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
073987
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4668302
—
MI
Enumeration date
07/17/2006
Last updated
07/08/2007
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