MEDICARE: DR. DAVID T KUNSTMAN MD

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	261QU0200X	Urgent Care Clinic/Center	38043	WI
2	207Q00000X	Family Medicine Physician	38043	WI
3	207Q00000X	Family Medicine Physician	80837	MN
4	261QU0200X	Urgent Care Clinic/Center	80837	MN

General Provider Information

NPI Number	:	1316907454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID T KUNSTMAN MD

Provider Business Mailing Address
First Line	:	5618 ODANA RD
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-1208
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 E 1ST ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55805-1901
Country	:	US
Telephone Number	:	218-786-8364
Fax Number	:

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

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	11/10/2025

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