JERRY PAUL HENDERSON

WYOMING, MI
NPI1245725977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  2021016736)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MI  510123790)
Enumeration Date2018-06-26
Last Update Date2021-07-28
Business Address
Dr. JERRY PAUL HENDERSON DO
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone number: 616-252-7604
Mailing Address
Dr. JERRY PAUL HENDERSON DO
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone number: 616-252-7604