Individual
DR. MEGHAN MARIA KUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 N 8TH AVE E, DULUTH, MN 55805-2024
(218) 723-1112
Mailing address
330 N 8TH AVE E, DULUTH, MN 55805-2024
(218) 723-1112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49783
MN
207Q00000X
Family Medicine Physician
53211
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518189463
MEDICA
MN
01
—
17P84KU
BCBS
MN
05
—
956480000
—
MN
01
—
P00438364
RR MEDICARE PTAN
—
Enumeration date
05/02/2007
Last updated
03/19/2025
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