Individual
WERNER C. ROENNECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE, DEARBORN, MI 48126
(313) 982-8330
(313) 982-8294
Mailing address
HENRY FORD HEALTH SYSTEM, 19401 HUBBARD DRIVE, DEARBORN, MI 48126
(313) 982-8330
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
048962
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WR048962
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/28/2006
Last updated
07/08/2007
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