Individual
RICHARD WESTBROOK HENNIG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101012566
MI
207RC0000X
Cardiovascular Disease Physician
Primary
5101012566
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060B51089
BLUE CROSS
—
01
—
0B56351
HEALTH PLUS
—
05
—
113420288
—
MI
01
—
C4260
M-CARE
—
01
—
CN9425
MEDICARE RAILROAD
—
01
—
E74572
HAP
—
Enumeration date
12/14/2006
Last updated
08/29/2019
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