Individual
CONOR LANGSTON TAZEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 E OLIN AVE, MADISON, WI 53713-0000
(608) 280-3150
(608) 237-2690
Mailing address
208 E OLIN AVE STE 205, MADISON, WI 53713-1427
(608) 280-3150
(608) 280-2775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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