Organization
KLAUS P. KUTSCHKE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KLAUS P. KUTSCHKE M.D. (M.D.)
(231) 723-7766
Entity
Organization
Contact information
Practice address
315 OAKGROVE ST, SUITE 1, MANISTEE, MI 49660-1121
(231) 723-7766
(231) 723-5540
Mailing address
PO BOX 523, JENISON, MI 49429-0523
(616) 457-4919
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301051076
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077322
—
MI
Enumeration date
10/10/2006
Last updated
03/13/2008
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