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1124138375
DAVID J HENNINGSEN
RICE LAKE, WI
NPI
1124138375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 33389)
Enumeration Date
2006-08-30
Last Update Date
2009-09-02
Business Address
-- DAVID J HENNINGSEN MD
1700 W STOUT ST
RICE LAKE, WI 54868-5000
Phone number: 715-236-8100
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Mailing Address
-- DAVID J HENNINGSEN MD
1000 N OAK AVE
MARSHFIELD, WI 54449-5703
Phone number: 715-387-5511
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