Individual
DR. GREGORY C HENKELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4950 ESSEN LANE, BATON ROUGE, LA 70809
(225) 215-1136
(225) 215-1658
Mailing address
4950 ESSEN LANE, BATON ROUGE, LA 70809
(225) 215-1136
(225) 215-1658
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
07671R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1377325
—
LA
Enumeration date
10/03/2006
Last updated
11/23/2009
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