Individual
KURT ROBERT ERIK MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 E HOSPITAL LN, SUITE 205, TERRE HAUTE, IN 47802-4230
(812) 234-2663
(812) 242-5878
Mailing address
501 E HOSPITAL LN, SUITE 205, TERRE HAUTE, IN 47802-4230
(812) 234-2663
(812) 242-5878
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02001875
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490011
BLUE SHIELD
IN
01
—
000000577747
BLUE CROSS/BLUE SHIELD
IN
05
—
200217870
—
IN
Enumeration date
07/10/2006
Last updated
12/14/2009
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