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Contact Information

JOHN C HENNESSEY, MD
401 PHALEN BLVD
HEALTHPARTNERS SPECIALTY CENTER - VASCULAR SURGERY 4TH
SAINT PAUL, MN55130-5302
 Phone: 952-967-7977
 Fax: 651-254-7969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for JOHN C HENNESSEY · (Male)

NPI # 1528898038
Status Active
Credentials MD
Entity Individual
Enumeration date 08/07/2024
Last updated 04/23/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 78317
  • NY License # 333269
  • WI License # 85238-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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