Individual
MICHAEL EVAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1010 NORTH BANCROFT PARKWAY, SUITE 12, WILMINGTON, DE 19805-2668
(302) 658-1129
(302) 658-7646
Mailing address
1010 NORTH BANCROFT PARKWAY, SUITE 12, WILMINGTON, DE 19805-2668
(302) 658-1129
(302) 658-7646
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1000170
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036543
—
DE
Enumeration date
10/03/2006
Last updated
04/08/2015
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