Michael E Thorstenson, MD | |
407 S Main St, Viroqua, WI 54665-2100 | |
(608) 637-3195 | |
Not Available |
Full Name | Michael E Thorstenson |
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Gender | Male |
Speciality | Surgery |
Location | 407 S Main St, Viroqua, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750449401 | NPI | - | NPPES |
30603900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 26510 (Wisconsin) | Primary |
Entity Name | Divine Savior Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
Entity Name | Richland Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
Mailing Address | Practice Location Address |
---|---|
Michael E Thorstenson, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Michael E Thorstenson, MD 407 S Main St, Viroqua, WI 54665-2100 Ph: (608) 637-3195 |
Rachel M Wilson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 407 S Main St, Viroqua, WI 54665 Phone: 608-637-3195 | |
Dr. Alexander Donald Wade, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 407 S Main St, Viroqua, WI 54665 Phone: 608-637-3195 | |
Brian Andrew Lyle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 407 S Main St, Viroqua, WI 54665 Phone: 608-637-3174 Fax: 608-638-5038 |