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Individual

DR. DELMER WARD HENNINGER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
39755 DATE ST, #101, MURRIETA, CA 92563-2007
(951) 698-6629
(951) 698-8732
Mailing address
39755 DATE ST, #101, MURRIETA, CA 92563-2007
(951) 698-6629
(951) 698-8732

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A41831
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0082740
CA
Enumeration date
10/02/2006
Last updated
05/10/2008
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