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1336257971
MICHAEL O HENNEBERRY
SPOKANE, WA
NPI
1336257971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WA MD 00013902)
Enumeration Date
2006-08-25
Last Update Date
2012-04-19
Business Address
DR. MICHAEL O HENNEBERRY M.D.
820 S MCCLELLAN ST SUITE 118
SPOKANE, WA 99204-2457
Phone number: 509-747-3147
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Mailing Address
DR. MICHAEL O HENNEBERRY M.D.
1404 E 64TH AVE
SPOKANE, WA 99223-6768
Phone number: 509-448-2558
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