Individual
ELIZABETH H HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
791 KENMOOR AVE SE, SUITE A, GRAND RAPIDS, MI 49546-8625
(616) 575-8200
(616) 954-9622
Mailing address
791 KENMOOR AVE SE, SUITE A, GRAND RAPIDS, MI 49546-8625
(616) 575-8200
(616) 954-9622
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301070226
MI
Other
Enumeration date
04/03/2006
Last updated
09/30/2015
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