# SHAWN P HENNIGAN

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

## Provider details

- **NPI number:** 1821026790
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 45657 | WI | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 04/18/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104507348 | — | MI |
| 05 | — | 104641130 | — | MI |
| 05 | — | 104705943 | — | MI |
| 05 | — | 104788310 | — | MI |
| 05 | — | 34380900 | — | WI |
| 01 | — | P00011123 | RAILROAD | WI |