Individual
DR. MARY ELIZABETH HENNEKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 E GRAND BOULEVARD, DETROIT, MI 48202
(513) 497-0744
Mailing address
236 ORLEANS ST APT 301, DETROIT, MI 48207-4096
(513) 497-0744
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4351048261
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
06/11/2021
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