Individual
CATHERINE D KEULKS-TORINUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
791 E SUMMIT AVE, OCONOMOWOC, WI 53066-3844
(262) 569-0251
(262) 569-0342
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
780-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42971700
—
WI
Enumeration date
12/19/2005
Last updated
07/08/2007
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