Individual
KURT S. KUSSEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 SUTTER PLACE, DAVIS, CA 95616-6201
(530) 756-6440
Mailing address
P.O. BOX 12020, WESTMINSTER, CA 92685-2020
(888) 556-5613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A91540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A915400
—
CA
Enumeration date
08/25/2006
Last updated
03/07/2011
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