Individual
DR. JOHN MARTIN CONNAUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1101 6TH ST, WAUSAU, WI 54403-3505
(715) 842-3081
(715) 845-1057
Mailing address
1101 N. 6TH ST, WAUSAU, WI 54403
(715) 842-3081
(715) 845-1057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001258
WI
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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