Mchenry, Michael Gerald

Mchenry, Michael Gerald is an individual health care provider with primary practice located at 3263 Eaton Road , Green Bay WI 54311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mchenry, Michael Gerald can be contacted via phone (920) 433-3456.

Contact Information

Primary practice address
3263 Eaton Road Green Bay WI 54311
Phone: (920) 433-3456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23152 Wisconsin

Profile Details

NPI number 1891779526
LBN Legal business name Mchenry, Michael Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated May 11th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891779526 NPPES
Wisconsin Other 23152 LICENSE

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