Diane M Henry, PA-C

NPI #1982699070 in Bertha, Minnesota

Provider Information

NPI Number
1982699070
Entity Type
Individual
Name
Diane M Henry, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Sep 14, 2005
Last Updated
Sep 11, 2007

Practice Location

Address
210 1ST ST N
Address 2
BOX 67
City
Bertha
ZIP Code
56437-0067
Phone
(218) 924-2250

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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