Individual
MARGARET M. HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3807 SPRING ST, RACINE, WI 53405-1667
(262) 687-8282
Mailing address
3807 SPRING ST, RACINE, WI 53405-1667
(262) 687-8282
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
39715
WI
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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