Individual
DR. MARCUS R HENNON
Active
Individual
DR. MARCUS R HENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2018022565
MO
207Q00000X
Family Medicine Physician
125069113
IL
Other
Enumeration date
06/11/2016
Last updated
01/17/2024
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