Individual
DR. CURTIS COULTER BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N GREEN BAY RD, NEENAH, WI 54956-1954
(920) 725-2070
(920) 725-4549
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19944
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110034806
RR MEDICARE
WI
01
—
19944
STATE LICENSE
WV
05
—
31232600
—
WI
01
—
52D0671586
CLIA
WV
Enumeration date
08/16/2005
Last updated
03/07/2023
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