Mary A Connelly in Green Bay - Family Medicine
Mary A Connelly - NPI 1841274636
Mary A Connelly is a Family Medicine in Green Bay, Wisconsin. Mary A Connelly practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mary A Connelly is 1841274636. The last update date is 2014-02-27.
Mary A Connelly's current location address is 1580 Commanche Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204457295. The mailing address for Mary A Connelly is 1580 Commanche Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary A Connelly |
|---|---|
| Address | 1580 Commanche Ave, Green Bay, Wisconsin |
| Phone Number | 9204457295 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1841274636 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2014-02-27 |
Provider Mailing Address Detail
| Address | 1580 Commanche Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543135751 |
| Phone Number | 9204457295 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 33056 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33056 | WI | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary A Connelly by the Centers for Medicare & Medicaid Services?
The Mary A Connelly has been assigned the NPI (National Provider Identifier) 1841274636 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Mary A Connelly is located?
The Mary A Connelly is situated at the following address: 1580 Commanche Ave, Green Bay, WI, 543135751.
What is Mary A Connelly's area of expertise and its corresponding taxonomy classification?
The Mary A Connelly's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did Mary A Connelly receive its 1841274636 assignment?
The Mary A Connelly was assigned its 1841274636 on 2005-12-05, which is the date when this unique identifier was issued to the organization.
When was the information regarding Mary A Connelly most recently updated?
The details pertaining to the Mary A Connelly, including its address, specialty, and other relevant information, were last refreshed on 2014-02-27.