Individual
THOMAS W HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 CHICAGO AVE, SUITE 401, MINNEAPOLIS, MN 55407-1318
(952) 814-6600
Mailing address
3001 METRO DR, SUITE 330, BLOOMINGTON, MN 55425-4506
(952) 814-6600
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
22165
MN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
22165
MN
Other
Enumeration date
07/05/2006
Last updated
09/11/2025
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