Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 20837 | WI |
NPI | 1073587226 |
---|---|
Provider Name | Allan W Torkelson |
First Address | Milwaukee, WI 53209-2042 |
Second Address | Milwaukee, WI 53209-2042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 29/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30459200 | (05) | WI |
B57180 | (02) | |
P00707815 | RR MEDICARE (01) | WI |