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NPI Code Detail

MEDICARE: SUSAN M TORHORST MD

MEDICARE: SUSAN M TORHORST 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
1207Q00000XFamily Medicine Physician28605WI

General Provider Information

NPI Number : 1730149048
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN M TORHORST MD
Provider Business Mailing Address
First Line : 260 26TH ST
Second Line :
City : PRAIRIE DU SAC
State : WI
Zip : 53578-2203
Country : US
Telephone Number : 608-643-3311
Fax Number :
Provider Business Practice Location Address
First Line : 260 26TH ST
Second Line :
City : PRAIRIE DU SAC
State : WI
Zip : 53578-2203
Country : US
Telephone Number : 608-643-3311
Fax Number : 608-643-8600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 03/24/2021

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Directions to “ SUSAN M TORHORST MD” Practice Location

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