MEDICARE: ROBERT C KURTZ DC

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	111N00000X	Chiropractor	2301401602	MI

General Provider Information

NPI Number	:	1548070493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT C KURTZ DC

Provider Business Mailing Address
First Line	:	455 S LIVERNOIS RD STE C-14
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-2582
Country	:	US
Telephone Number	:	810-241-5632
Fax Number	:

Provider Business Practice Location Address
First Line	:	455 S LIVERNOIS RD STE C-14
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-2582
Country	:	US
Telephone Number	:	810-241-5632
Fax Number	:

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

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	01/15/2025

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