| Rss William Conner LLC | |
|
15455 W Bluemound Rd Ste 250 Brookfield WI 53005 | |
| () - | |
| Not Available |
| Full Name | Rss William Conner LLC |
|---|---|
| Speciality | Dentist |
| Location | 15455 W Bluemound Rd Ste 250, Brookfield, Wisconsin |
| Authorized Official Name and Position | Sara Marie Brown (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 2252668010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rss William Conner LLC 1050 Texan Trl Ste 300 Grapevine TX 76051-3759 Ph: (469) 778-6114 | Rss William Conner LLC 15455 W Bluemound Rd Ste 250 Brookfield WI 53005 Ph: () - |
| NPI Number | 1720509045 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 09/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720509045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 1223G0001X | Dentist - General Practice | () | Secondary |
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