NPI 1003838418

Jon R Henke, MD

Practitioner Diagnostic Radiology Physician Grand Rapids, MI

Practice location

Address: 3264 N Evergreen Dr NE, Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 363-7290

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 4301045317 (MI)

Other Radiology providers in Michigan →

Registry record

NPI: 1003838418
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.