Individual
ADAM RAY KUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
216835
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
67153-20
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD00046219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100066940
—
WI
01
—
210266
LABOR & INDUSTRIES
WA
05
—
8455362
—
WA
Enumeration date
05/30/2006
Last updated
01/07/2025
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