Individual
DOUGLAS CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
(920) 738-6400
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
(920) 738-5787
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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