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Individual

DR. CARL HENNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
260 HOSPITAL DR, UKIAH, CA 95482-4561
(707) 463-8000
(707) 462-1111
Mailing address
PO BOX 2739, UKIAH, CA 95482-2739
(707) 463-8000
(707) 462-1111

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G10081
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G100810
CA
Enumeration date
12/05/2005
Last updated
04/29/2008
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