Lyle G. Henry Md Sc

NPI 1063611820 - Surgery - 208600000X

NPI Details
NPI 1063611820
Enumeration Date 07/12/2007
Last Updated 07/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LYLE GENE LYLE
Position PRESIDENT
Phone (414) 961-2120
Fax (414) 961-0335
Practice Location
2015 E NEWPORT AVE STE 305
MILWAUKEE WI, 53211-2949, US
Phone (414) 961-2120
Fax (414) 961-0335
Business Location
2015 E NEWPORT AVE STE 305
MILWAUKEE WI, 53211-2949, US
Phone (414) 961-2120
Fax (414) 961-0335
Toxanomy
Taxonomy Code 208600000X
License State Wisconsin
License Number 18454
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According to our database, Lyle G. Henry Md Sc NPI is 1063611820, taxonomy code is 208600000X and license number is 18454, license state is located at Wisconsin. Lyle G. Henry Md Sc physically located at 2015 E Newport Ave Ste 305, Milwaukee WI, 53211-2949. NPI Number 1033115704 has the healthcare provider type.

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1063611820 NPI number is provided on an as is basis without warranty of any kind. 1063611820 is maintained by the National Plan & Provider Enumeration System. The contents of Lyle G. Henry Md Sc are for informational purposes only.