Individual
WILFRIED KUNZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1445 PORTLAND AVE, SUITE 210, ROCHESTER, NY 14621-3036
(585) 266-1180
(585) 266-4187
Mailing address
1445 PORTLAND AVE, SUITE 210, ROCHESTER, NY 14621-3036
(585) 266-1180
(585) 266-4187
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
101393-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00448940
—
NY
01
—
3893
EXCELLUS BCBS OF ROCHESTE
NY
01
—
P010101393
BLUE CHOICE OF ROCHESTER
NY
01
—
P102131
PREFERRED CARE
NY
Enumeration date
04/04/2006
Last updated
02/09/2010
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