Individual
DAVID J ORCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC @ MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
PO BOX 8674, MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44038
MN
208C00000X
Colon & Rectal Surgery Physician
44038
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020050332
RR MEDICARE
—
05
—
0571299
—
IA
01
—
1650285
AMERICAS PPO
MN
05
—
168467100
—
MN
01
—
1722574
MEDICA
MN
01
—
410849339 56001 C190
CHAMPUS
—
01
—
47D35OR
BCBS
MN
01
—
HP33939
HEALTH PARTNERS
MN
01
—
NA2951028012
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/15/2020
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