Conners, Douglas Robert

Conners, Douglas Robert is an individual health care provider with primary practice located at 1910 S Parkwood Ln , New Berlin WI 53151-2456. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Conners, Douglas Robert can be contacted via phone (262) 389-2261.

Contact Information

Primary practice address
1910 S Parkwood Ln New Berlin WI 53151-2456
Phone: (262) 389-2261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51694 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 51694 Wisconsin

Profile Details

NPI number 1285781773
LBN Legal business name Conners, Douglas Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Oct 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285781773 NPPES
Wisconsin MEDICAID 100026389

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