person
Mark W Hennicke, PA-C
Medical Physician Assistant in Greensburg, Pennsylvania
NPI 1487611307

Mark W Hennicke is a Medical Physician Assistant based in Jeannette, PA and is specialized in Medical. Mark W Hennicke practices in Greensburg, PA and has the professional credentials of PA-C. The NPI Number for Mark W Hennicke is 1487611307 and holds a License No. MA002773L (Pennsylvania).

The current practice location address for Mark W Hennicke is 530 South St, Greensburg, PA and can be reached out via phone at 724-689-1358 and via fax at 724-689-0547. You can also correspond with Mark W Hennicke through the mailing address at 520 JEFFERSON AVE, JEANNETTE, PA - 15644-2538 (mailing address contact number: 724-527-8060).

Location: 530 South St, Greensburg, PA, 15644-2538
person
Provider Profile Details
NPI Number
1487611307
Provider Name
Mark W Hennicke
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
530 South St, Greensburg, PA, 15644-2538
Phone Number
724-689-1358
Fax Number
724-689-0547
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
530 South St
City
State
Zip
15601-2775
Phone Number
724-689-1358
Fax Number
724-689-0547
person
Provider Business Mailing Address Details
Address
530 South St
City
State
Zip
15601-2775
Phone Number
724-689-1358
Fax Number
724-689-0547
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA002773L (Pennsylvania)
Definition
Definition to come...
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