Individual
PAUL A MCHENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8364
Mailing address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301055144
MI
207R00000X
Internal Medicine Physician
18105
NV
207RI0200X
Infectious Disease Physician
Primary
2409
WI
208M00000X
Hospitalist Physician
18105
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4707483-10
—
MI
Enumeration date
07/20/2006
Last updated
04/23/2024
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