Individual
DR. KURT M DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1908 KRUCHTEN CT S, SARTELL, MN 56377-4645
(320) 774-1080
Mailing address
1908 KRUCHTEN CT S, SARTELL, MN 56377-4645
(320) 774-1080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33505
MN
207QA0401X
Addiction Medicine (Family Medicine) Physician
33505
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120122
MEDICA
—
01
—
080056694
RR MEDICARE
—
05
—
097702100
—
MN
01
—
107207C736
UCARE MINNESOTA
MN
01
—
28638DE
BCBS OF MINNESOTA
MN
01
—
A003
TRICARE
MN
01
—
HP10317
HEALTH PARTNERS
—
01
—
NA9230454502
PREFERRED ONE
—
Enumeration date
07/14/2006
Last updated
04/15/2021
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