Individual
DOUGLAS CONNOR
Active
Individual
DOUGLAS CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
53203
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
53203
WI
Other
Enumeration date
04/16/2007
Last updated
03/03/2014
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