Individual provider · NPI-1

Janelle L Henning, MD

Family Medicine · Lakewood, OH

NPI number1326150780
StatusActive
Last updated in NPPESAug 19, 2009

Details

NPI
1326150780
Entity type
Individual (NPI-1)
Name
Janelle L Henning
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2006
Last updated
Aug 19, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35087788OHYes

Practice location

11851 Detroit Ave
Lakewood, OH 44107-3016

Phone 216-529-7125 · Fax 216-529-7196

Mailing address

11851 Detroit Ave
Lakewood, OH 44107-3016

Phone 216-529-7125 · Fax 216-529-7196

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