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Individual

DOUGLAS K HENSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 356-3600
(319) 356-4547
Mailing address
2255 N 1700 W, STE 200, LAYTON, UT 84041-1187
(801) 776-2220
(801) 820-2772

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
39672
IA
207Y00000X
Otolaryngology Physician
47669
MN
207YS0123X
Facial Plastic Surgery Physician
39672
IA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
10222796-1205
UT
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
39672
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
767689100
MN
Enumeration date
02/07/2006
Last updated
04/11/2017
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