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DOUGLAS E HENRY MD

Physicians Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine

Provider NPI: 1639116122

Provider Information:
 DOUGLAS E HENRY MD
Gender: M
Not Sole Proprietor

Practice Location:
2801 MARTIN LUTHER KING JR DR  CLEVELAND, OH 44104-3815 US
Tel: 216-448-6254  Fax: 216-448-6061

Business Mailing Address:
2801 MARTIN LUTHER KING JR DR  CLEVELAND, OH 44104-3815 US
Tel: 216-448-6254  Fax: 216-448-6061

NPI Information:
NPI: 1639116122
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2081P0010XPhysicians
Physical Medicine & Rehabilitation
Pediatric Rehabilitation Medicine
OH35072544

Other Provider Identifiers:

IssuerNumberStateType
2025972OH05



American Medical Association 2012 taxonomy code information

Code: 2081P0010X

Type:

Classification:



Definition:



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