Individual
KLAUS PETER KUTSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1293 E PARKDALE AVE, STE 2300, MANISTEE, MI 49660-8904
(231) 398-1740
(231) 231-1749
Mailing address
315 OAKGROVE ST, MANISTEE, MI 49660-1176
(231) 398-9266
(231) 398-9268
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301051076
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020515714
BCBS
MI
05
—
5184760
—
MI
Enumeration date
11/09/2005
Last updated
04/19/2024
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