MARK W HENNICKE

GREENSBURG, PA
NPI1487611307
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PA  MA002773L)
Enumeration Date2006-04-26
Last Update Date2016-11-17
Business Address
-- MARK W HENNICKE PA-C
530 SOUTH ST SECOND FLOOR
GREENSBURG, PA 15601-2775
Phone number: 724-689-1358
Mailing Address
-- MARK W HENNICKE PA-C
520 JEFFERSON AVE SUITE 400
JEANNETTE, PA 15644-2538
Phone number: 724-527-8060
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