Provider Demographics
NPI:1730195413
Name:HORSWILL, ROBERT N (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:N
Last Name:HORSWILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:200 E WASHINGTON ST
Mailing Address - Street 2:P O BOX 8031
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-5490
Mailing Address - Country:US
Mailing Address - Phone:888-833-8200
Mailing Address - Fax:920-739-0124
Practice Address - Street 1:502 COPPER ST
Practice Address - Street 2:SUITE 5
Practice Address - City:HURLEY
Practice Address - State:WI
Practice Address - Zip Code:54534-1345
Practice Address - Country:US
Practice Address - Phone:715-561-4795
Practice Address - Fax:715-561-4796
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI19279-20207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31123100Medicaid
B53697Medicare UPIN