Healthcare Provider Details

I. General information

NPI: 1558623090
Provider Name (Legal Business Name): KURT FARCHMIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2012
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 NIAGARA CT
DULUTH MN
55812-3065
US

IV. Provider business mailing address

615 NIAGARA CT
DULUTH MN
55812-3065
US

V. Phone/Fax

Practice location:
  • Phone: 218-726-8155
  • Fax: 888-714-0584
Mailing address:
  • Phone: 218-726-8155
  • Fax: 888-714-0584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number58333
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: