Organization
ROCKY MOUNTAIN UROLOGY,LLC
Active
Organization
ROCKY MOUNTAIN UROLOGY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ERVIN KUGLITSCH MD (OWNER)
(920) 623-9970
Entity
Organization
Contact information
Practice address
1511 PARK AVE, SUITE F, COLUMBUS, WI 53925-2401
(920) 623-9970
(920) 623-9970
Mailing address
1511 PARK AVE, SUITE F, COLUMBUS, WI 53925-2401
(920) 623-9970
(920) 623-9970
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
7089
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010154126
REGENCY BLUE SHIELD OF ID
ID
05
—
0020103002
—
ID
05
—
0081226
—
MT
05
—
30673100
—
WI
01
—
8N223
BC IDAHO
ID
01
—
DB7643
RAILROAD MEDICARE
MT
Enumeration date
06/27/2007
Last updated
04/20/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up