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Individual

DR. CRAIG ALAN HENKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, PWB SECOND FLOOR, CLINIC 2A, MINNEAPOLIS, MN 55455
(612) 626-6100
Mailing address
420 DELAWARE STREET SE, MMC 276, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 624-0999
(612) 625-2174

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28715
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
28715
MN
207RP1001X
Pulmonary Disease Physician
Primary
28715
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0051636
MT
05
0968727
IA
01
100810
UCARE
MN
01
1009135
PREFERRED ONE
MN
05
136380800
MN
01
30T42HE
BCBS
MN
01
48-00006
MEDICA PRIMARY
MN
01
48-07054
MEDICA CHOICE
MN
01
768154
ARAZ
MN
01
HP22242
HEALTHPARTNERS
MN
Enumeration date
07/10/2006
Last updated
10/26/2012
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