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Individual

DR. HOLGER HENNIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-3154
(541) 222-3359
Mailing address
PO BOX 7247, SPRINGFIELD, OR 97475-0011
(541) 686-9551
(541) 687-6716

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4739026-1205
UT
207L00000X
Anesthesiology Physician
Primary
MD151763
OR
207L00000X
Anesthesiology Physician
MD60726694
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619961398
WA
01
47390261201001
BXBS
UT
05
500624959
OR
05
D3869
UT
Enumeration date
09/08/2005
Last updated
04/01/2021
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