Individual
JOSEPH DAVID HENNINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 877-3419
Mailing address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
85734-20
WI
207X00000X
Orthopaedic Surgery Physician
TP189
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
10/20/2025
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