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Individual

ANDREW M THORSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 UNION AVE, SHEBOYGAN, WI 53081-8426
(920) 802-2100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 802-2100
(920) 802-1500

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
51274
KY
207P00000X
Emergency Medicine Physician
Primary
74204
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100109122
WI
Enumeration date
04/17/2015
Last updated
10/17/2023
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