Individual
DR. MICHAEL CYRILL KUTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 PRESTON RD., PLANO, TX 75024
(972) 403-1300
Mailing address
2752 GASTON AVE, APT 1232, DALLAS, TX 75226-1352
(213) 268-1894
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167698301
—
TX
05
—
172619201
—
TX
01
—
8F8564
MEDICARE PTAN
TX
01
—
8J1775
BCBS
TX
01
—
8K9263
BCBS
TX
Enumeration date
12/20/2005
Last updated
05/28/2009
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