Dr. Mark V Connelly , MD
Surgery - Plastic and Reconstructive Surgery • La Crosse, WI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Connelly has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Connelly, MD was a registered Surgery - Plastic and Reconstructive Surgery practicing in La Crosse, WI. Throughout an active medical career spanning 19 years, Dr. Connelly provided care at the practice location at 1836 SOUTH AVE until profile deactivation on 2024-08-14.
Practice Location & Contact Primary Location
1836 South Ave
La Crosse, WI 546015429
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery - Plastic and Reconstructive Surgery in La Crosse, WI
Practicing in La Crosse, WI (49 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 2086S0122X
A surgeon who specializes in plastic and reconstructive surgery.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Psychologist
Doctor of Psychology (Psy.D.)
Surgery
Nurse Practitioner - Adult Health
Advanced Practice Nurse Prescriber
Orthopaedic Surgery
Registered Nurse - Addiction (Substance Use Disorder)
Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 14, 2024
NPI status registered as active in NPPES database
Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)
Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)
Recorded as MARK CONNELLY, MD
Surgery (License #17475 in WI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1836 South Ave
La Crosse, WI 546015429
Phone: 6087827300
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