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NPI 1669205118

IndividualActive

Michael Henderson, MBA

NPI 1669205118 · Contractor · Baltimore, MD

Provider details

NPI number: 1669205118
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: MBA
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

ContractorPrimary171W00000X
Other Service Providers
Specialist174400000X
Other Service Providers

Practice location

2728 Fisk Rd

Baltimore, MD 21225-1328

Phone: (410) 279-1464

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

2728 Fisk Rd

Baltimore, MD 21225-1328

Registry dates

Enumerated: 2024-08-21
Last updated: 2024-08-21
Certified: 2024-08-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Michael Henderson, MBA — NPI 1669205118, Baltimore, MD | NPI Central