Dr MARY A CONNELLY is a female medical professional, specializing in Family Medicine. She graduated in 1991 from Medical University Of South Carolina College Of Medicine.
THEDACARE INCORPORATED
2500 E CAPITAL DR
APPLETON
WI
549118735
Tel:
| Npi | 1841274636 |
| Pac Id | 1456483353 |
| Professional Enrollment Id | I20100712000579 |
| Last Name | CONNELLY |
| First Name | MARY |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | THEDACARE INCORPORATED |
| Group Practice Pac Id | 1759294887 |
| Number Of Group Practice Members | 478 |
| Line 1 Street Address | 2500 E CAPITAL DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | APPLETON |
| State | WI |
| Zip Code | 549118735 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 520049 |
| Hospital Affiliation Lbn 1 | BELLIN MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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