Individual
DR. WILLIAM K TORDZRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
845 PARKSIDE ST, RIPON, WI 54971-8505
(580) 323-8460
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
67166
WI
207Q00000X
Family Medicine Physician
26433
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02100289
—
MS
Enumeration date
06/10/2005
Last updated
03/07/2023
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