Individual
KEVIN J O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 WIND RIDGE DR, WAUSAU, WI 54401-4149
(715) 675-3391
(715) 675-5255
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23324
WI
Other
Enumeration date
07/03/2006
Last updated
03/13/2009
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