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Individual

DR. MICHAEL ROBERT TORKELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
333 REVOLUTIONARY TRL, FAIRFAX, SC 29827-7109
(803) 632-2533
Mailing address
509 JETFIRE PT, BLUFFTON, SC 29910-5346
(540) 532-6204

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21667
WV
207Q00000X
Family Medicine Physician
Primary
35152
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001717791
MS BCBS
WV
05
3810003685
WV
01
7516755
AETNA
WV
01
92230
UNICARE
WV
01
P00730705
RRMC
WV
Enumeration date
06/28/2006
Last updated
04/22/2026
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