Individual
DR. MATTHEW W HENIGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6731
(608) 756-6013
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6731
(608) 756-6013
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30406-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760552806
—
WI
05
—
32178700
—
WI
01
—
HENIGMAT
MERCYCARE INSURANCE
WI
Enumeration date
11/08/2006
Last updated
01/03/2017
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