David J Henningsen, MD
Family Medicine in Rice Lake, WI. Individual provider (NPI-1).
NPI number1124138375
StatusActive
Last updated in NPPESSep 2, 2009
Details
- NPI
- 1124138375
- Entity type
- Individual (NPI-1)
- Name
- David J Henningsen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Sep 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 33389 | WI | Yes |
Practice location
1700 W Stout StRice Lake, WI 54868-5000
Phone 715-236-8100
Mailing address
1000 N Oak AveMarshfield, WI 54449-5703
Phone 715-387-5511
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