Individual
DR. MICHAEL JOHN KUTSCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 DUDLEY ST STE 200, PROVIDENCE, RI 02905-3248
(401) 443-4205
Mailing address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD19991
RI
Other
Enumeration date
05/17/2019
Last updated
05/30/2024
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