Individual
DR. MICHAEL BERNARD HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 234-6110
Mailing address
859 WEBSTER DR, STATE COLLEGE, PA 16801-4223
(814) 235-1786
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD053546-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145526605
—
PA
Enumeration date
08/05/2006
Last updated
07/08/2007
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