Individual
CONNOR J MEDBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036166651
IL
207P00000X
Emergency Medicine Physician
83962
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100279439
—
WI
Enumeration date
04/21/2021
Last updated
09/10/2024
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