Individual
DOUGLAS C KUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 S PARK ST, MADISON, WI 53705-1507
(608) 417-5695
Mailing address
202 S PARK ST, MADISON, WI 53705-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34536
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31956400
—
WI
Enumeration date
02/28/2006
Last updated
07/01/2019
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