SearchWisconsin1041C0700X

Gregory Henderson, LCSW

NPI 1982826509 · on the registry since 2007

Practice

Address
210 Wisconsin American Dr
Fond Du Lac, WI 54937
Phone
(920) 907-7000
Organisation at this address
Lakeside Neurocare
Aurora Pharmacy Inc
Total Renal Care Inc
Aurora Medical Group, Inc.
Aurora Health Care Ventures Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
72

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin