Individual
KURTIS K MOTSCHENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9529
MN
363A00000X
Physician Assistant
Primary
PAC0474
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602607900
—
MN
Enumeration date
06/24/2006
Last updated
05/01/2025
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