NPI 1114190527

Connie M Henslin, CST

Practitioner Surgical Technologist Fond Du Lac, WI

Practice location

Address: 210 Wisconsin American Dr STE 235, Fond Du Lac, WI 54935-2999
Phone: (920) 923-0641
Fax: (920) 923-3281
Mailing address: PO Box 1358, Fond Du Lac, WI 54936-1358

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Wisconsin →

Registry record

NPI: 1114190527
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Apr 2008
Record last updated: 7 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.