Individual
DR. MICHAEL STEVEN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39833 TRADITIONS DR, NORTHVILLE, MI 48168-9498
(248) 344-1913
Mailing address
PO BOX 860036 SUITE 1, MINNEAPOLIS, MN 55486-2666
(248) 431-4954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.0288153
IL
1223G0001X
General Practice Dentistry
Primary
2901017049
MI
Other
Enumeration date
10/20/2006
Last updated
04/25/2018
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