Individual
MATTHEW TIMOTHY CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 SUPERIOR AVE, SHEBOYGAN, WI 53081-1948
(920) 783-1261
Mailing address
W6247 SAINT ANDREWS CT, PLYMOUTH, WI 53073-2710
(414) 526-6371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
70428-20
WI
Other
Enumeration date
04/26/2017
Last updated
07/02/2024
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