Individual provider · Type 1 NPI

Evan Daniel McConnell, MD

Student in an Organized Health Care Education/Training Program · Rochester, NY

NPI number 1376103994 Active

Practice location

1555 Long Pond Rd
Rochester, NY 14626-4122

Fax (585) 723-7834

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376103994

Evan Daniel McConnell, MD's National Provider Identifier is 1376103994, issued on Jun 17, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rochester, NY. The record was last updated on Jun 17, 2019.