Dr. JOHN CHARLES HENNESSEY M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1528898038- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 401 PHALEN BLVD HEALTHPARTNERS SPECIALTY CENTER - VASCULAR SURGERY 4TH, SAINT PAUL, MN, 551305302
- Phone
- (952) 967-7977
- Fax
- (651) 254-7969
Specialties & Taxonomies
Unknown
License: NY #333269
Unknown
License: WI #85238-20
Unknown
Primary License: MN #78317
All Addresses
LOCATION
401 PHALEN BLVD HEALTHPARTNERS SPECIALTY CENTER - VASCULAR SURGERY 4TH
SAINT PAUL, MN, 551305302
MAILING
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN, 554254516