Healthcare Provider Details

I. General information

NPI: 1730195413
Provider Name (Legal Business Name): ROBERT N HORSWILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 COPPER ST SUITE 5
HURLEY WI
54534-1345
US

IV. Provider business mailing address

200 E WASHINGTON ST P O BOX 8031
APPLETON WI
54911-5490
US

V. Phone/Fax

Practice location:
  • Phone: 715-561-4795
  • Fax: 715-561-4796
Mailing address:
  • Phone: 888-833-8200
  • Fax: 920-739-0124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number19279-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: