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Individual

THOMAS E HENNIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3200 SYCAMORE CT STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
(812) 378-1014
Mailing address
3200 SYCAMORE CT STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
(812) 378-1014

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01029470A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000087838
ANTJHEM PIN#
IN
05
100052460
IN
Enumeration date
07/10/2006
Last updated
10/06/2017
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