Individual
TODD ALLEN KUCERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-5721
Mailing address
PO BOX 539, CRESTON, IA 50801-0539
(641) 782-5052
(641) 782-5721
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23928
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922051499
—
IA
01
—
300036076
RR MEDICARE
—
Enumeration date
05/18/2006
Last updated
09/24/2013
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