Individual
MR. THAD D HENKEL-HANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
109302-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881786168
—
WI
Enumeration date
09/28/2006
Last updated
08/05/2016
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