Most Relevant Information
Provider Data
| NPI Number: | 1003341157 |
| Provider Name: | MATTHEW TIMOTHY CONNOLLY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 70428-20 |
Most Important Dates
| Enumeration Date: | 04/26/2017 |
| Last Updated: | 07/02/2024 |
Provider Practice Location
3100 SUPERIOR AVE
SHEBOYGAN
WI
530811948
Practice Location Phone/Fax
| Phone: | 9207831261 |
| Fax: |
Provider Mailing Location
W6247 SAINT ANDREWS CT
PLYMOUTH
WI
530732710
Provider Mailing Phone/Fax
| Phone: | 4145266371 |
| Fax: |