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Individual

DR. MARY MARGARET HENNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
33238
MN
2084P0800X
Psychiatry Physician
Primary
56027
WI
2084P0804X
Child & Adolescent Psychiatry Physician
33238
MN

Other

Enumeration date
12/21/2006
Last updated
09/16/2011
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