MEDICARE: ANTHONY KUHBANDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	4704353866	MI

General Provider Information

NPI Number	:	1053250514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY KUHBANDER

Provider Business Mailing Address
First Line	:	701 FRIAR TUCK ST
Second Line	:
City	:	STURGIS
State	:	MI
Zip	:	49091-9158
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 E CHICAGO RD
Second Line	:
City	:	STURGIS
State	:	MI
Zip	:	49091-1993
Country	:	US
Telephone Number	:	269-633-4108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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Directions to “ ANTHONY KUHBANDER ” Practice Location

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