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Individual

DR. KARL JOHN HENRIKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2223 LIME KILN RD STE 1, GREEN BAY, WI 54311-6213
(920) 430-8113
(920) 430-8122
Mailing address
2223 LIME KILN RD STE 1, GREEN BAY, WI 54311-6213

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
71031
WI
207X00000X
Orthopaedic Surgery Physician
MT201601
PA

Other

Enumeration date
06/13/2012
Last updated
03/28/2023
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