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Individual

TORSTEN FURUMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
801 S 70TH ST, WEST ALLIS, WI 53214-3147
(414) 773-6600
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 773-6600

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2634
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38861400
WI
Enumeration date
11/14/2006
Last updated
06/11/2012
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