Individual
KAREN M HENRICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 955-0122
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0805
(414) 955-0122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
643
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861714818
—
WI
Enumeration date
02/18/2010
Last updated
07/23/2019
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