Individual
DR. WILLIAM BLAKE KUTSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-3551
(432) 447-5434
Mailing address
2323 TEXAS ST, PECOS, TX 79772-7338
(432) 447-3551
(432) 447-5434
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301062066
MI
207VG0400X
Gynecology Physician
4301062066
MI
207VX0000X
Obstetrics Physician
4301062066
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4876421
—
MI
05
—
4876600
—
MI
01
—
ECFMG
03691540
—
Enumeration date
06/15/2006
Last updated
01/21/2015
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