Individual
WENDELIN MARIE HENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 329-9006
(865) 329-9007
Mailing address
201 W. SPRINGDALE AVENUE, KNOXVILLE, TN 37917-4217
(865) 329-9006
(865) 329-9007
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02/21/2007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10777
BCBSNC GRP # 015HF
NC
05
—
89-10777
—
NC
Enumeration date
06/02/2006
Last updated
06/18/2010
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