Individual
DR. JENNIFER MARIE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
47505
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780768531
—
WI
Enumeration date
10/25/2006
Last updated
11/01/2012
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