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Individual

DR. RICHARD HENRY KUTZ III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
244 WESTERN AVE, PORTLAND, ME 04106-2430
(207) 775-3446
(207) 879-1646
Mailing address
244 WESTERN AVE, PORTLAND, ME 04106-2430
(207) 775-3446
(207) 879-1646

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
018739
ME
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
018739
ME
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
018739
ME
2083P0901X
Public Health & General Preventive Medicine Physician
018739
ME
208600000X
Surgery Physician
018793
ME
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
018739
ME

Other

Enumeration date
08/31/2006
Last updated
01/02/2013
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