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General NPI Number Information
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NPI Number | 1316907454
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Entity Type | Individual
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Provider Name | DAVID T KUNSTMAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 420 E 1ST ST
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City | DULUTH
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State | MN
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Zip | 55805-1901
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Country | US
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Telephone | 218-786-8364
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Fax |
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Provider Business Mailing Address
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Address Line | 5618 ODANA RD
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City | MADISON
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State | WI
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Zip | 53719-1208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 38043
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38043
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 80837
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 80837
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License Number State | MN
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