Individual
SHANE CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1111 DELAFIELD ST, SUITE 222, WAUKESHA, WI 53188-3417
(262) 547-8665
(262) 547-8685
Mailing address
1111 DELAFIELD ST, SUITE 222, WAUKESHA, WI 53188-3417
(262) 547-8665
(262) 547-8685
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6802
WI
Other
Enumeration date
04/14/2009
Last updated
07/10/2015
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