Individual
RICHARD T TOVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-111341
IL
207P00000X
Emergency Medicine Physician
Primary
27102-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437187341
—
WI
05
—
30712700
—
WI
01
—
930118427
MEDICARE RAILROAD
WI
01
—
P00024624
MEDICARE RAILROAD
WI
01
—
P00184924
MEDICARE RAILROAD
IL
Enumeration date
06/29/2006
Last updated
12/21/2021
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