Individual
DR. MICHAEL ROBERT CONNERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-6267
(618) 256-7931
Mailing address
1910 S PARKWOOD LN, NEW BERLIN, WI 53151-2456
(262) 784-6687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001459
WI
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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