Individual
GRANT DOUGLAS HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7222
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-12475
IA
Other
Enumeration date
03/23/2022
Last updated
05/19/2022
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