Individual
DOUGLAS E HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8005
(616) 840-9642
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8877
(616) 840-9690
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
35072544
OH
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
4301054794
MI
Other
Enumeration date
06/01/2006
Last updated
04/13/2021
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