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Individual

CONNOR JAMES ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2793 LINEVILLE RD, HOWARD, WI 54313-7152
(920) 496-4700
Mailing address
2731 MAIN AVE, KAUKAUNA, WI 54130-3543
(920) 213-6775

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72544-20
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2018
Last updated
07/26/2021
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