Organization
OTR MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T O'CONNOR M.D. (PHYSICIAN / OWNER)
(262) 297-3657
Entity
Organization
Contact information
Practice address
2865 N BROOKFIELD RD, BROOKFIELD, WI 53045-3026
(262) 297-3657
Mailing address
2865 N BROOKFIELD RD, BROOKFIELD, WI 53045-3026
(262) 297-3657
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
50669-020
WI
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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