MR. Derek Allen Henderson, PA

NPI #1447530498 in Buchanan, Michigan

Provider Information

NPI Number: 1447530498
Entity Type: Individual
Name: MR. Derek Allen Henderson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 23, 2011
Last Updated: Oct 13, 2016

Practice Location

Address: 1045 E FRONT ST
City: Buchanan
State: Michigan
ZIP Code: 49107-8474
Phone: (269) 695-5540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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