Individual
MR. MICHAEL ROBERT OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
Mailing address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5496-33
WI
Other
Enumeration date
09/23/2013
Last updated
07/20/2016
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