ROY HENNEBERG, MD
Specialist
Active
Individual
NPI: 1114956216
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | M4722 (ID) |
Frequently Asked Questions
NPI 1114956216 is the National Provider Identifier for ROY HENNEBERG, MD, a Specialist provider located in Coeur D Alene, ID. This NPI was enumerated on July 1, 2006.
ROY HENNEBERG, MD practices at 980 W IRONWOOD DR, SUITE 304, Coeur D Alene, ID 83814.
Quick Facts
- NPI
- 1114956216
- Type
- Individual
- Enumerated
- Jul 1, 2006
- Last Updated
- May 14, 2020
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