Organization
ADVANCED SPECIALTY ASSOCIATES, LTD
Active
Other names
Kurtis A Waters MD PA, Advanced Specialty Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURTIS ALLEN WATERS M.D. (DIRECTOR)
(218) 454-8888
Entity
Organization
Contact information
Practice address
13359 ISLE DR, SUITE 1, BAXTER, MN 56425-2221
(218) 454-8888
(888) 835-7231
Mailing address
13359 ISLE DR, SUITE 1, BAXTER, MN 56425-2221
(218) 454-8888
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
37843
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
422K7WA
BLUE CROSS BLUE SHIELD MN
MN
05
—
930218200
—
MN
Enumeration date
01/15/2007
Last updated
09/19/2023
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