MEDICARE: ROBERT MICHAEL TOKAREK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	MD053717L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD053717L	OTHER	PA	STATE LICENSE

General Provider Information

NPI Number	:	1083619407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MICHAEL TOKAREK MD

Provider Business Mailing Address
First Line	:	801 YORK ST
Second Line	:
City	:	MANITOWOC
State	:	WI
Zip	:	54220-4630
Country	:	US
Telephone Number	:	920-663-9008
Fax Number	:	920-684-1439

Provider Business Practice Location Address
First Line	:	1190 OLD YORK RD STE 200
Second Line	:
City	:	WARMINSTER
State	:	PA
Zip	:	18974-2047
Country	:	US
Telephone Number	:	215-420-1340
Fax Number	:	215-420-1363

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	04/21/2025

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