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Individual

MICHAEL J HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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