MEDICARE: DAVID KURTZ 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	207Q00000X	Family Medicine Physician	36211-020	WI
2	2085R0202X	Diagnostic Radiology Physician	36211-020	WI
3	208600000X	Surgery Physician	36211-020	WI
4	2085R0202X	Diagnostic Radiology Physician	MD44796	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730171349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID KURTZ MD

Provider Business Mailing Address
First Line	:	PO BOX 1655
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52004-1655
Country	:	US
Telephone Number	:	563-556-6895
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 N GRANDVIEW AVE
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-6388
Country	:	US
Telephone Number	:	563-582-9108
Fax Number	:

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	03/19/2018

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Directions to “ DAVID KURTZ MD” Practice Location

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