1811957095 NPI number — DR. KURT R. FUCHS M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811957095 NPI number — DR. KURT R. FUCHS M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

FUCHS

Provider First Name:

KURT

Provider Middle Name:

R.

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1811957095

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

03/11/2021

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2925 CHICAGO AVE

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

MINNEAPOLIS

Provider Business Mailing Address State Name:

MN

Provider Business Mailing Address Postal Code:

55407-1321

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

612-262-5000

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

1400 N ACRES RD

Provider Second Line Business Practice Location Address:

SUITE 30

Provider Business Practice Location Address City Name:

PRESCOTT

Provider Business Practice Location Address State Name:

WI

Provider Business Practice Location Address Postal Code:

54021-7038

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

715-262-4441

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

03/23/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207Q00000X , with the licence number:  34591 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 01-15317 . This is a "MEDICA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 104513 . This is a "UCARE MINNESOTA" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: HP16248 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 447717100 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
• Identifier: 8D970FU . This is a "BLUE CROSS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: FP0258 . This is a "AMERICA'S PPO" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 447717100 . This is a "GROUP HEALTH EAU CLAIRE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 080104002 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: 32194000 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
• Identifier: 66-02414 . This is a "MEDICA URGENT CARE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
• Identifier: NA9141000799 . This is a "PREFERRED ONE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".