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Individual

RORY MATTHEW CONNOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
480 OSBORNE RD NE STE 260, FRIDLEY, MN 55432-2866
(763) 236-3800
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8619
MN

Other

Enumeration date
10/18/2021
Last updated
05/19/2022
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