Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00001408 | WA |
NPI | 1134279003 |
---|---|
Provider Name | Dr. Aaron J Henkel |
First Address | Janesville, WI 53546-8205 |
Second Address | Janesville, WI 53546-8205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/07/2007 |