Individual
DR. KARL EVANS RIVERA HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3990 JOHN R ST, 5 HUDSON, ROOM 5910, DETROIT, MI 48201-2018
(313) 745-9649
(313) 993-0302
Mailing address
3990 JOHN R ST, 5 HUDSON, ROOM 5910, DETROIT, MI 48201-2018
(313) 745-9649
(313) 993-0302
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
10/20/2014
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