Individual
DR. THOMAS F. HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
336 S MAIN ST, SHAWANO, WI 54166-2754
(715) 524-3565
(715) 524-3169
Mailing address
336 SOUTH MAIN STREET, PO BOX 535, SHAWANO, WI 54166-0535
(715) 524-3565
(715) 524-3169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001589-015
WI
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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