Individual
MAUREEN ANNE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2460 TOWNCREST DR, IOWA CITY, IA 52240-6622
(319) 338-7862
(319) 338-2517
Mailing address
2460 TOWNCREST DR, IOWA CITY, IA 52240-6622
(319) 338-7862
(319) 338-2517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27523
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0745877
—
IA
01
—
32308
WELLMARK
IA
Enumeration date
01/12/2007
Last updated
10/17/2007
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