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Individual

ANTHONY MICHAEL MCCONNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2829 UNIVERSITY DR S STE 202, FARGO, ND 58103-6050
(701) 478-7868
(701) 356-7005
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11351
MN
225100000X
Physical Therapist
Primary
2185
ND

Other

Enumeration date
08/15/2018
Last updated
03/04/2022
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