Individual
DR. JOSEPH WELLES HENDERSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27100 CHARDON ROAD, SUITE 100, RICHMOND HEIGHTS, OH 44143
(440) 516-8700
(216) 201-5276
Mailing address
27100 CHARDON RD STE 100, RICHMOND HEIGHTS, OH 44143-1192
(440) 516-8700
(216) 201-5276
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
35124412
OH
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
35-124412
OH
Other
Enumeration date
03/31/2009
Last updated
01/12/2021
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