Individual
BRIAN RICHARD CONNERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
555 PRESTIGE CT, EDGERTON, WI 53534-9390
(608) 884-2867
Mailing address
555 PRESTIGE CT, EDGERTON, WI 53534-9390
(608) 884-2867
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315519-31
WI
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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