Individual
DR. JOHN CHARLES HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 PHALEN BLVD, HEALTHPARTNERS SPECIALTY CENTER - VASCULAR SURGERY 4TH, SAINT PAUL, MN 55130-5302
(952) 967-7977
(651) 254-7969
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
333269
NY
2086S0129X
Vascular Surgery Physician
Primary
78317
MN
2086S0129X
Vascular Surgery Physician
85238-20
WI
Other
Enumeration date
08/07/2024
Last updated
04/23/2025
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