Kurt M Devine in Sartell - Addiction Medicine

Kurt M Devine - NPI 1457377657

Kurt M Devine is a Addiction Medicine in Sartell, Minnesota. Kurt M Devine practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Kurt M Devine is 1457377657. The last update date is 2021-04-15.

Kurt M Devine's current location address is 1908 Kruchten Ct S, Sartell, Minnesota. You can contact this provider via phone number 3207741080. The mailing address for Kurt M Devine is 1908 Kruchten Ct S, Sartell, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kurt M Devine
Address 1908 Kruchten Ct S, Sartell, Minnesota
Phone Number 3207741080
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1457377657
Provider Enumeration Date 2006-07-14
Last Updated Date 2021-04-15

Provider Mailing Address Detail

Address 1908 Kruchten Ct S
City Sartell
State Minnesota (MN)
Post Code 563774645
Phone Number 3207741080
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Qa0401X
Licence No 33505
Definition:
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
28638DE MN BCBS OF MINNESOTA
A003 MN TRICARE
107207C736 MN UCARE MINNESOTA
80056694 RR MEDICARE
97702100 MN --
NA9230454502 PREFERRED ONE
120122 MEDICA
HP10317 HEALTH PARTNERS

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FAQs about Kurt M Devine

What is the unique 10-digit identifier code assigned to Kurt M Devine by the Centers for Medicare & Medicaid Services?

The Kurt M Devine has been issued the NPI (National Provider Identifier) 1457377657 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Kurt M Devine is physically located?

The Kurt M Devine is physically situated at the following address: 1908 Kruchten Ct S, Sartell, MN, 563774645.

What is Kurt M Devine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kurt M Devine is Addiction Medicine, and the taxonomy code that classifies this field of practice is 207Qa0401X.

On what date did Kurt M Devine receive its 1457377657 assignment from the Centers for Medicare & Medicaid Services?

The Kurt M Devine was assigned its 1457377657 on 2006-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kurt M Devine last refreshed?

The information related to the Kurt M Devine, including its address, specialty, and other relevant details, was last updated on 2021-04-15.

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