Individual
SHAWN P HENNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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