Individual
DR. KERRY H HENRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
(414) 649-5296
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25288
WV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-074754
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25288
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31851900
—
WI
Enumeration date
11/09/2006
Last updated
11/18/2025
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