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Individual

WILLIAM R HENWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1353 E MARKET ST, SUITE 302, WARREN, OH 44483-6637
(330) 841-9590
(330) 841-1122
Mailing address
1353 E MARKET ST, SUITE 302, WARREN, OH 44483-6637
(330) 841-9590
(330) 841-1122

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34-004295
OH
208600000X
Surgery Physician
OS003720L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000795719
PA
Enumeration date
11/29/2005
Last updated
06/11/2013
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