Basic Information
| Provider Information | |||||||||
| NPI: | 1164470662 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | O'ROURKE | ||||||||
| FirstName: | ANN | ||||||||
| MiddleName: | P. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7974 UW HEALTH CT | ||||||||
| Address2: | |||||||||
| City: | MIDDLETON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 535625531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6088295485 | ||||||||
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| Practice Location | |||||||||
| Address1: | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS | ||||||||
| Address2: | 600 HIGHLAND AVE. ROOM H4/831-8320 | ||||||||
| City: | MADISON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 537923284 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6082637502 | ||||||||
| FaxNumber: | 6082637652 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 01/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0127X | 47111-20 | WI | Y | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | 208600000X | 47111-20 | WI | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.