Individual
BRAD J CONNER
Active
Individual
BRAD J CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101018654
MI
207X00000X
Orthopaedic Surgery Physician
Primary
OS018267
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
03879
KY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
34.011686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103132679
—
PA
01
—
5101018654
DEPARTMENT OF COMMUNITY HEALTH
MI
01
—
5315045086
DEPARTMENT OF COMMUNITY HEALTH
MI
Enumeration date
05/25/2010
Last updated
09/10/2021
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