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Contact Information

DOUGLAS R CONNERS, MD
1910 S PARKWOOD LN
NEW BERLIN, WI53151-2456
 Phone: 262-389-2261
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DOUGLAS R CONNERS · (Male)

NPI # 1285781773
Status Active
Credentials MD
Entity Individual
Enumeration date 01/05/2007
Last updated 10/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 51694
  • WI Medicaid 100026389
Hospital affiliation(s)
  • CALUMET MEDICAL CTR - (Critical Access)
    614 MEMORIAL DRIVE
    CHILTON, WI 53014
  • RIVERSIDE MEDICAL CENTER - (Critical Access)
    800 RIVERSIDE DRIVE
    WAUPACA, WI 54981
  • ST AGNES HSPTL - (Acute Care)
    430 E DIVISON ST
    FOND DU LAC, WI 54935
  • ST ELIZABETH HSPTL - (Acute Care)
    1506 S ONEIDA ST
    APPLETON, WI 54915
  • THEDA CLARK MED CTR - (Acute Care)
    130 2ND ST
    NEENAH, WI 54956
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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