Individual
PETER MARSHALL HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9040 JACKSON AVE, MADIGAN ARMY MEDICAL CENTER, RHEUMATOLOGY CLINIC, TACOMA, WA 98431-1100
(253) 968-2287
Mailing address
9040 JACKSON AVE, MADIGAN ARMY MEDICAL CENTER, RHEUMATOLOGY CLINIC, TACOMA, WA 98431-1100
(253) 968-2287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
376
NE
207RR0500X
Rheumatology Physician
Primary
376
NE
207RR0500X
Rheumatology Physician
MED-PHYS-LIC-112892
MT
Other
Enumeration date
09/29/2006
Last updated
02/19/2024
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