Individual
DR. THOMAS B CONNOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35377
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000113C
HUMANA
—
05
—
1497707921
—
WI
01
—
180024944
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
03/13/2013
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