Individual
DONALD J HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
N143W6515 PIONEER RD, CEDARBURG, WI 53012-2705
(262) 377-6933
(262) 376-2495
Mailing address
N143W6515 PIONEER RD, CEDARBURG, WI 53012-2705
(262) 377-6933
(262) 376-2495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23781
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30630400
—
WI
Enumeration date
02/13/2006
Last updated
01/16/2018
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