Individual
ROBERT THORBROGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24376 140TH ST, SPIRIT LAKE, IA 51360-7043
(712) 886-0997
Mailing address
24376 140TH ST, SPIRIT LAKE, IA 51360-7043
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20199
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302208
—
IA
Enumeration date
05/27/2005
Last updated
05/30/2012
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