Provider Demographics
NPI:1457302838
Name:TORRES, CARLOS E (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:E
Last Name:TORRES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2720 PLAZA DR
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4158
Mailing Address - Country:US
Mailing Address - Phone:715-847-2311
Mailing Address - Fax:715-847-2312
Practice Address - Street 1:2720 PLAZA DR
Practice Address - Street 2:SUITE 2200
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4158
Practice Address - Country:US
Practice Address - Phone:715-847-2311
Practice Address - Fax:715-847-2312
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIE18733Medicare UPIN