Individual
JEFFREY A KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 PINE RIDGE BLVD, SUITE 205, WAUSAU, WI 54401-4123
(715) 847-0444
(715) 847-0445
Mailing address
425 PINE RIDGE BLVD, SUITE 205, WAUSAU, WI 54401-4123
(715) 847-0444
(715) 847-0445
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
19194
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30348300
—
WI
Enumeration date
07/29/2005
Last updated
11/03/2009
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