Individual
SHAWN P HENNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833
Mailing address
3467 COUNTRY WINDS CT, GREEN BAY, WI 54311-6906
(920) 639-7751
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45657
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104507348
—
MI
05
—
104641130
—
MI
05
—
104705943
—
MI
05
—
104788310
—
MI
05
—
34380900
—
WI
01
—
P00011123
RAILROAD
WI
Enumeration date
06/29/2006
Last updated
04/18/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us