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NPI Code Detail

MEDICARE: MICHELE C. HENLEY M.D.

MEDICARE:   MICHELE C. HENLEY  M.D.
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
1207R00000XInternal Medicine PhysicianD0061850MD

General Provider Information

NPI Number : 1760448278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE C. HENLEY M.D.
Provider Business Mailing Address
First Line : 7845 OAKWOOD RD
Second Line : SUITE 300
City : GLEN BURNIE
State : MD
Zip : 21061-4280
Country : US
Telephone Number : 410-582-4220
Fax Number : 855-778-6896
Provider Business Practice Location Address
First Line : 5100 EASTERN AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21224-2772
Country : US
Telephone Number : 410-814-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2006
Last Update Date : 10/31/2022

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Directions to “ MICHELE C. HENLEY M.D.” Practice Location

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