Individual
DR. JOHN W. CONNELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
270 N MAIN ST, CLINTONVILLE, WI 54929-1104
(715) 823-6777
Mailing address
270 N MAIN ST, CLINTONVILLE, WI 54929-1104
(715) 823-6777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001651
WI
Other
Enumeration date
06/02/2005
Last updated
07/08/2007
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