# DR. JOHN CHARLES HENNESSEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528898038
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 333269 | NY | — |
| 2086S0129X | Vascular Surgery Physician | 78317 | MN | Yes |
| 2086S0129X | Vascular Surgery Physician | 85238-20 | WI | — |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 04/23/2025