Individual
MICHAEL J HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5021 W NOBLE AVE, SUITE A, VISALIA, CA 93277-8310
(559) 627-9393
(559) 627-1624
Mailing address
5021 W NOBLE AVE, SUITE A, VISALIA, CA 93277-8310
(559) 627-9393
(559) 627-1624
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301085099
MI
207W00000X
Ophthalmology Physician
Primary
A94551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4766107
—
MI
01
—
5315020937
CONTROLLED SUBSTANCE
MI
Enumeration date
01/23/2006
Last updated
03/07/2023
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