Malik Henderson
Malik Henderson is a Driver in Menomonee Falls, Wisconsin. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
N91W16112 Junction Way Apt 304Menomonee Falls, WI 53051-3195
Phone: (414) 795-4551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1194321000 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 7, 2020 |
| Last updated in NPPES | December 7, 2020 |
| Certification date | December 7, 2020 |
| Mailing address | N91w16112 Junction Way Apt 304, Menomonee Falls, WI 53051-3195 |