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NPI Code Detail

MEDICARE: DR. DAVID MICHAEL HENZLER MD

MEDICARE: DR. DAVID MICHAEL HENZLER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician114232AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063588184
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MICHAEL HENZLER MD
Provider Business Mailing Address
First Line : 1100 E DIMOND BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-2010
Country : US
Telephone Number : 907-565-6000
Fax Number : 907-565-6001
Provider Business Practice Location Address
First Line : 1100 E DIMOND BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-2010
Country : US
Telephone Number : 907-565-6000
Fax Number : 907-565-6001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 01/11/2023

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Directions to “ DR. DAVID MICHAEL HENZLER MD” Practice Location

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