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Individual

JAKOB CHRISTOPHER THORUD

Active
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Individual

JAKOB CHRISTOPHER THORUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-005694
IL
213E00000X
Podiatrist
T28-2011
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174818272
BCBSWI
WI
05
—
1174818272
—
WI
01
—
THORUJAK
MERCYCARE INSURANCE
WI
Enumeration date
06/16/2011
Last updated
08/24/2023
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