Individual
DR. PATRICK THOMAS HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 ABBOT RD, SUITE 400, EAST LANSING, MI 48823-1222
(517) 332-0100
(517) 332-0356
Mailing address
1500 ABBOT RD, SUITE #400, EAST LANSING, MI 48823-9998
(517) 332-0100
(517) 332-0356
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
22205
MD
207Y00000X
Otolaryngology Physician
Primary
4301103981
MI
207Y00000X
Otolaryngology Physician
D68392
MD
Other
Enumeration date
05/21/2007
Last updated
12/27/2013
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