Individual
MICHAEL TODD HENDERSON
Active
Individual
MICHAEL TODD HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OP60774008
WA
207L00000X
Anesthesiology Physician
P7645
TX
390200000X
Student in an Organized Health Care Education/Training Program
2009015671
MO
Other
Enumeration date
06/24/2009
Last updated
10/04/2017
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