Individual
DR. MICHAEL SCOTT CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1111 DELAFIELD ST, SUITE 222, WAUKESHA, WI 53188-3417
(262) 547-8665
(262) 547-4328
Mailing address
1111 DELAFIELD ST, SUITE 222, WAUKESHA, WI 53188-3417
(262) 547-8665
(262) 547-4328
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5578015
WI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
48605
WI
Other
Enumeration date
08/20/2006
Last updated
01/13/2011
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