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Organization

DR. DEBRA J. KURTZ PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DRBRA J KURTZ MD (OWNER)
(231) 935-8920
Entity
Organization

Contact information

Practice address
3537 W FRONT ST, SUITE F, TRAVERSE CITY, MI 49684-7941
(231) 935-8920
(231) 935-3043
Mailing address
3537 W FRONT ST, SUITE F, TRAVERSE CITY, MI 49684-7941
(231) 935-8920
(231) 935-3043

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
4301051369
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0280345
BCBS
MI
01
13308
CCMC
MI
05
2909390
MI
01
6390
PRIORITY HEALTH
MI
Enumeration date
11/29/2007
Last updated
02/20/2008
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