Individual
DR. PETER KANE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(630) 215-7346
Mailing address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(630) 215-7346
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
59780-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861789794
—
WI
Enumeration date
06/29/2011
Last updated
04/15/2016
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