Individual
DR. THEODORE WILLIAM VANDERHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
(608) 392-7197
Mailing address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
(608) 392-7197
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
62064
WI
207L00000X
Anesthesiology Physician
R - 8887
IA
Other
Enumeration date
06/01/2010
Last updated
09/15/2020
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