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Individual

MARC CONNERY

Active
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Individual

MARC CONNERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01049420A
IN
208000000X
Pediatrics Physician
Primary
036.098822
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000354497
ANTHEM
IN
05
200330540
IN
Enumeration date
08/01/2005
Last updated
08/20/2026
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