Lyle Gene Henry MD

NPI 1043242035 - Surgery - 2086S0129X

NPI Details
NPI 1043242035
Gender Male
Enumeration Date 07/07/2006
Last Updated 02/25/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2350 N LAKE DR
SUITE 304
MILWAUKEE WI, 53211-4528, US
Phone (414) 298-7220
Fax (414) 298-7229
Business Location
788 N JEFFERSON ST
SUITE 300/ATTN KAAREN BUTZEN
MILWAUKEE WI, 53202-3718, US
Phone (414) 272-8950
Fax (414) 272-0859
Toxanomy
Taxonomy Code 2086S0129X
License State Wisconsin
License Number 18454
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According to our database, Dr. Lyle Gene Henry MD NPI is 1043242035, taxonomy code is 2086S0129X and license number is 18454, license state is located at Wisconsin. Lyle Gene Henry MD physically located at 2350 N Lake Dr, Milwaukee WI, 53211-4528. NPI Number Lyle Gene Henry MD has the Individual type.

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1043242035 NPI number is provided on an as is basis without warranty of any kind. 1043242035 is maintained by the National Plan & Provider Enumeration System. The contents of Lyle Gene Henry MD are for informational purposes only.