Jared Connolly

Pediatrics Physician · Greenfield, WI

Individual Active NPI

NPI number 1790130474

Practice location

9000 W Sura Ln
Greenfield, WI 53228
Phone
(414) 246-6800
Fax
(414) 246-6405

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NPI record

NPI
1790130474
Entity type
Individual (Type 1)
Enumeration date
April 29, 2016
Last updated
January 9, 2024
Certified
January 9, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 71078 WI

Mailing address

9000 W Sura Ln
Greenfield, WI 53228-3477
Phone
(414) 246-6800
Fax
(414) 246-6405

Other practice locations (1)

  • 500 Thatcher Ave, River Forest, IL 60305-1625 · (708) 203-4995

About Jared Connolly

Jared Connolly is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 9000 W Sura Ln, Greenfield, WI 53228. The NPI number 1790130474 was assigned on April 29, 2016 and the record was last updated on January 9, 2024.

Jared Connolly lists a license in the registry: #71078 (WI) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jared Connolly?

The NPI number is 1790130474.

What is the phone number of Jared Connolly?

The phone number listed for the practice location is (414) 246-6800.

Where is Jared Connolly located?

9000 W Sura Ln, Greenfield, WI 53228.

What is the taxonomy code for Jared Connolly?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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