Individual
DR. STEPHEN GAYLE HENRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 DOUGLAS AVE, HENNING, MN 56551-4026
(218) 883-2953
(218) 583-4521
Mailing address
401 DOUGLAS AVE, HENNING, MN 56551-4026
(218) 883-2953
(218) 583-4521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19714
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19714
LICENSE
MN
Enumeration date
09/30/2005
Last updated
03/07/2023
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