Individual
DR. MICHAEL SHANE HENNESY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40865
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67635521
—
CO
05
—
72507560
—
CO
Enumeration date
09/15/2005
Last updated
04/20/2026
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