Individual
MARK R HENSCHKE
Active
Individual
MARK R HENSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9158
NH
207R00000X
Internal Medicine Physician
DO13001
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020470410
TAX ID
NH
05
—
30006683
—
NH
01
—
P00004229
RAILROAD MEDICARE
NH
Enumeration date
09/08/2005
Last updated
09/26/2013
Update your record
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