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Individual

GUY A O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2011
Mailing address
PO BOX 1596, MANITOWOC, WI 54221-1596
(920) 320-3097
(920) 320-3529

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
26328-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34427400
WI
01
P00099737
MEDICARE RAILROAD
WI
Enumeration date
08/17/2006
Last updated
06/29/2011
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