MEDICARE: DR. JOHN ANDREW HENSING 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
1	207R00000X	Internal Medicine Physician	19074	AZ

General Provider Information

NPI Number	:	1750406369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ANDREW HENSING MD

Provider Business Mailing Address
First Line	:	5702 E SAINT ANDREWS WAY
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-4836
Country	:	US
Telephone Number	:	480-629-8717
Fax Number	:	480-629-8717

Provider Business Practice Location Address
First Line	:	5702 E SAINT ANDREWS WAY
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-4836
Country	:	US
Telephone Number	:	480-629-8717
Fax Number	:	480-629-8717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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