Individual
WILLIAM DAVID MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 EMERSON AVE E, SUITE 100, SAINT PAUL, MN 55118-2535
(651) 552-3800
(651) 552-3826
Mailing address
PO BOX 43, MR 10809, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-9035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9398
MN
363A00000X
Physician Assistant
Primary
9398
MN
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357150500
—
MN
Enumeration date
04/04/2006
Last updated
01/12/2023
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