| Doctor Name: | DANIEL HENSGEN |
| NPI Number: | 1053729491 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | AG-ACNP |
| License Number: | 5850-33 |
| Business Practice Address: | 4025 N 92nd St Wauwatosa, WI - 532221613 |
| Business Phone Number: | 4143585437 |
| Business Fax Number: | 4143585421 |
| Mailing Address: | 4025 N 92nd St, WAUWATOSA |
| State: | WI |
| Postal Code: | 532221613 |
| Phone Number: | 4143585437 |
| Fax Number: | 4143585421 |
| NPI Enumeration Date: | 07/29/2014 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 5850-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |