Individual
STANLEY DOUGLAS KURISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43981
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0570481
—
IA
01
—
1029757
PREFERRED ONE
MN
01
—
141092
UCARE
MN
01
—
1518058
AMERICA'S PPO
MN
01
—
1992758833
DAKOTA CARE
MN
01
—
253803
MIDLANDS CHOICE INC
MN
05
—
34402500
—
WI
01
—
53G60KU
BLUE CROSS
MN
05
—
709485000
—
MN
01
—
HP34107
HEALTHPARTNERS
MN
Enumeration date
05/19/2006
Last updated
07/21/2022
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