Jeffrey John Kotulski in Mankato - Neuromusculoskeletal Medicine & Omm

Jeffrey John Kotulski - NPI 1740386176

Jeffrey John Kotulski is a Neuromusculoskeletal Medicine & Omm in Mankato, Minnesota. Jeffrey John Kotulski practices all healthcare services and medical treatments related to Neuromusculoskeletal Medicine & Omm. The NPI Number for Jeffrey John Kotulski is 1740386176. The last update date is 2011-02-18.

Jeffrey John Kotulski's current location address is 45 Teton Lane, Mankato, Minnesota. You can contact this provider via phone number 5073887488 and fax number 5073885680. The mailing address for Jeffrey John Kotulski is 45 Teton Lane, Mankato, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey John Kotulski
Address 45 Teton Lane, Mankato, Minnesota
Phone Number 5073887488
Fax Number 5073885680
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1740386176
Provider Enumeration Date 2006-09-15
Last Updated Date 2011-02-18

Provider Mailing Address Detail

Address 45 Teton Lane
City Mankato
State Minnesota (MN)
Post Code 56001
Phone Number 5073887488
Fax Number 5073885680

Provider's Primary Taxonomy Detail

Speciality Neuromusculoskeletal Medicine & Omm
Taxonomy 204D00000X
Licence No 37416
Definition:
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Med

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
560320000 MN --

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FAQs about Jeffrey John Kotulski

What is the Jeffrey John Kotulski's unique identification number?

The Jeffrey John Kotulski has been assigned the NPI (National Provider Identifier) Number 1740386176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Jeffrey John Kotulski's facilities are geographically located?

The facilities of Jeffrey John Kotulski are physically situated at the following location: 45 Teton Lane, Mankato, MN, 56001.

What is Jeffrey John Kotulski's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffrey John Kotulski is Neuromusculoskeletal Medicine & Omm, and the taxonomy code that classifies this field of practice is 204D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1740386176 to Jeffrey John Kotulski?

The Centers for Medicare & Medicaid Services assigned the 1740386176 to Jeffrey John Kotulski on 2006-09-15.

When was the Jeffrey John Kotulski's information last updated?

The Jeffrey John Kotulski's information was last updated on 2011-02-18.

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