Individual
CHASITY A HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 E ENTERPRISE AVE, APPLETON, WI 54913-7729
(920) 954-2551
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49305
WI
Other
Enumeration date
06/23/2006
Last updated
02/08/2017
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