Individual
MR. CHRISTOPHER ROBERT O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6001 MANUFACTURERS DR STE 110, 54TH CIVIL SUPPORT TEAM, MADISON, WI 53704-6207
(608) 245-8441
(608) 245-8498
Mailing address
6001 MANUFACTURERS DR STE 110, MADISON, WI 53704-6207
(608) 245-8441
(608) 245-8498
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
2525-023
WI
363A00000X
Physician Assistant
Primary
2525-023
WI
Other
Enumeration date
05/19/2010
Last updated
02/02/2012
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