Individual
KURT W NISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NORTH RADIATION THERAPY CTR, 3300 OAKDALE AVE N, ROBBINSDALE, MN 55422
(763) 521-1426
(763) 521-1432
Mailing address
7401 METRO BLVD STE 150, EDINA, MN 55439-3026
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
36649
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110586
CHOICE PLUS
MN
01
—
115463
UCARE
MN
01
—
2400004
MEDICA PRIMARY
MN
01
—
2400007
MEDICA
MN
01
—
27A19NI
BLUE CROSS/BLUE SHIELD
MN
01
—
302578
AMERICA'S PPO
MN
05
—
32289600
—
WI
05
—
412014100
—
MN
01
—
9630701012228
PREFERRED ONE
MN
01
—
HP20823
HEALTH PARTNERS
MN
Enumeration date
08/19/2005
Last updated
11/28/2023
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