Individual provider · Type 1 NPI

Mark W. Hennicke, PA-C

Medical Physician Assistant · Greensburg, PA

NPI number 1487611307 Active

Practice location

530 South St, Second Floor
Greensburg, PA 15601-2775

Call (724) 689-1358 Map

Fax (724) 689-0547

Mailing address

520 Jefferson Ave, Suite 400
Jeannette, PA 15644-2538

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA002773L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1487611307

Mark W. Hennicke, PA-C's National Provider Identifier is 1487611307, issued on Apr 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Greensburg, PA. The record was last updated on Nov 17, 2016.