Individual
KURT C STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3944
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FL,MSC9152, SHAKER HTS, OH 44122-5203
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-057081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000135259
ANTHEM
OH
01
—
000000530399
ANTHEM
OH
05
—
0748114
—
OH
01
—
634080
AETNA
OH
01
—
80044874
RAILROAD MEDICARE
OH
Enumeration date
07/14/2006
Last updated
11/11/2007
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