Individual
DAVID WILLIAM HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 E 24TH ST STE 1, MINNEAPOLIS, MN 55404-3959
(612) 721-9800
Mailing address
1315 E 24TH ST STE 1, MINNEAPOLIS, MN 55404-3959
(612) 721-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65733
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
04/14/2020
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