Individual
KURT RUDIGER PIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
203 WINSTON DR, MARSHALL, MI 49068-8526
(269) 789-4380
(269) 789-4381
Mailing address
176 DAWKINS DR, LEWISBURG, WV 24901-9302
(304) 645-6083
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
3767
WV
207X00000X
Orthopaedic Surgery Physician
Primary
5101014594
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200Z800130
BCBS GROUP
MI
Enumeration date
02/16/2006
Last updated
10/15/2021
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