Individual
DAVID CHARLES HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6830
(616) 685-8910
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
(616) 685-1808
(616) 685-8099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301102998
MI
Other
Enumeration date
06/17/2013
Last updated
08/02/2016
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