Individual
MICHAEL STEWART KUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20552
OK
207L00000X
Anesthesiology Physician
Primary
66745
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101160A
—
OK
01
—
731451967001
BCBS GRP BILLING #
—
Enumeration date
05/16/2006
Last updated
12/03/2020
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