Individual
TOU SHOUA JOHN LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1881 COUNTY ROAD XX, KRONENWETTER, WI 54455-7933
(715) 355-4040
Mailing address
1881 COUNTY ROAD XX, KRONENWETTER, WI 54455-7933
(715) 355-4040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62537
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104184076
—
WI
Enumeration date
04/30/2012
Last updated
09/20/2016
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