Individual
MICHAEL J CONNOR
Active
Individual
MICHAEL J CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
04-27001
KS
207RG0100X
Gastroenterology Physician
Primary
2003005215
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100642590A
—
KS
05
—
206074601
—
MO
01
—
P00045637
RR MEDICARE
—
Enumeration date
06/30/2005
Last updated
05/16/2025
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