Michael A Henderson in Grand Rapids - Diagnostic Radiology

Michael A Henderson - NPI 1699731299

Michael A Henderson is a Diagnostic Radiology in Grand Rapids, Michigan. Michael A Henderson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Michael A Henderson is 1699731299. The last update date is 2018-09-12.

Michael A Henderson's current location address is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163637339 and fax number 6163615828. The mailing address for Michael A Henderson is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael A Henderson
Address 3264 N Evergreen Dr Ne, Grand Rapids, Michigan
Phone Number 6163637339
Fax Number 6163615828
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1699731299
Provider Enumeration Date 2006-04-22
Last Updated Date 2018-09-12

Provider Mailing Address Detail

Address 3264 N Evergreen Dr Ne
City Grand Rapids
State Michigan (MI)
Post Code 495259746
Phone Number 6163637339
Fax Number 6163615828

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 5101009653
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4738550 MI --

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FAQs about Michael A Henderson

What is the unique 10-digit identifier code issued to Michael A Henderson by the Centers for Medicare & Medicaid Services?

The Michael A Henderson has been assigned the NPI (National Provider Identifier) 1699731299 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Michael A Henderson's physical address?

The Michael A Henderson is physically located at 3264 N Evergreen Dr Ne, in the city of Grand Rapids, MI, with the postal code 495259746.

What is Michael A Henderson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael A Henderson is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.

On what date did Michael A Henderson receive its 1699731299 assignment from the Centers for Medicare & Medicaid Services?

The Michael A Henderson was assigned its 1699731299 on 2006-04-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Michael A Henderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael A Henderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-09-12.

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