Individual
DR. DOUGLAS ROBERT CONNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 S PARKWOOD LN, NEW BERLIN, WI 53151-2456
(262) 389-2261
Mailing address
1910 S PARKWOOD LN, NEW BERLIN, WI 53151-2456
(262) 389-2261
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
51694
WI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
51694
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026389
—
WI
Enumeration date
01/05/2007
Last updated
10/05/2022
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