Individual
DR. CURTIS COULTER BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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