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General NPI Number Information
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NPI Number | 1639254022
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Entity Type | Organization
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Legal Business Name | ALLAN W. TORKELSON, M.D., S.C.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13111 N PORT WASHINGTON RD
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City | MEQUON
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State | WI
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Zip | 53097-2416
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Country | US
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Telephone | 262-243-7410
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Fax | 262-243-7482
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Provider Business Mailing Address
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Address Line | 13111 N PORT WASHINGTON RD
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City | MEQUON
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State | WI
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Zip | 53097-2416
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Country | US
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Telephone | 262-968-9190
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Fax | 262-968-9119
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALLAN W. TORKELSON
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Credential | M.D.
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Telephone | 262-243-7410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 20837
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License Number State | WI
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