Individual
DR. KURT WILLIAM KOOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2829 UNIVERSITY DR S, FARGO, ND 58103-6050
(701) 232-9000
(701) 893-9057
Mailing address
641 COTTONWOOD CT, WEST FARGO, ND 58078-3144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9202
ND
208000000X
Pediatrics Physician
9202
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12025
—
ND
Enumeration date
06/16/2006
Last updated
03/17/2014
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