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Malik Henderson
Driver in Menomonee Falls, Wisconsin
NPI 1194321000

Malik Henderson is a Driver based in Menomonee Falls, WI. Malik Henderson practices in Menomonee Falls, WI. The NPI Number for Malik Henderson is 1194321000 and holds a License No. (Wisconsin).

The current practice location address for Malik Henderson is N91W16112 Junction Way Apt 304, Menomonee Falls, WI and can be reached out via phone at 414-795-4551.

Location: N91W16112 Junction Way Apt 304, Menomonee Falls, WI, 53051-3195
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194321000
Provider Name
Malik Henderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
N91W16112 Junction Way Apt 304, Menomonee Falls, WI, 53051-3195
Phone Number
414-795-4551
Fax Number
Provider Enumeration Date
12/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100139027 05 WI
institution
Provider Business Practice Location Address Details
Address
N91W16112 Junction Way Apt 304
City
Menomonee Falls
State
Wisconsin
Zip
53051-3195
Phone Number
414-795-4551
Fax Number
person
Provider Business Mailing Address Details
Address
N91W16112 Junction Way Apt 304
City
Menomonee Falls
State
Wisconsin
Zip
53051-3195
Phone Number
414-795-4551
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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