Individual provider · Type 1 NPI
Fraser Henderson
Neurological Surgery Physician · Upper Marlboro, MD
Practice location
1401 Mercantile Ln Ste 341
Upper Marlboro, MD 20774-4331
Fax (301) 654-9394
Mailing address
1401 Mercantile Ln
Upper Marlboro, MD 20774-4301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery Physician Primary | 207T00000X | 20803 (DC) |
Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…
2 other providers at this address
About NPI 1063404788
Fraser Henderson's National Provider Identifier is 1063404788, issued on Aug 18, 2005. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Sep 9, 2026.