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Individual

JESSE CONNORS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
221 N CELIA AVE, MUNCIE, IN 47303-4609
(765) 747-8413
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02008668A
IN
207Q00000X
Family Medicine Physician
02008668A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2024
Last updated
04/27/2026
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