Individual
DR. THOMAS ALLAN HENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM ND
Contact information
Practice address
29001 CEDAR RD, STE 500, LYNDHURST, OH 44124
(440) 461-4242
Mailing address
29001 CEDAR RD, STE 500, LYNDHURST, OH 44124
(440) 461-4242
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1726
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283527
—
OH
Enumeration date
08/29/2006
Last updated
07/08/2007
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