Individual
DR. KURT G. DATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8820
Mailing address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8820
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7639
ND
208M00000X
Hospitalist Physician
7639
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457058
—
ND
Enumeration date
11/10/2006
Last updated
01/28/2019
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