MRS. Virginia Determan Henke, PA-MPAS

NPI #1477656692 in Iron Mountain, Michigan

Provider Information

NPI Number: 1477656692
Entity Type: Individual
Name: MRS. Virginia Determan Henke, PA-MPAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-MPAS
Enumeration Date: Sep 6, 2006
Last Updated: Mar 9, 2016

Practice Location

Address: 1115 S HEMLOCK ST
Address 2: SUITE 6
City: Iron Mountain
State: Michigan
ZIP Code: 49801-3800
Phone: (906) 779-4270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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