Individual
DR. PETER J. KURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
801 1ST ST, MENOMINEE, MI 49858-3231
(906) 863-2330
(906) 863-3794
Mailing address
801 1ST ST, MENOMINEE, MI 49858-3231
(906) 863-2330
(906) 863-3794
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002914
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38523800
—
WI
05
—
5105883
—
MI
Enumeration date
03/20/2007
Last updated
08/27/2008
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