Douglas V Kautz in Rochester - Physician Assistant

Douglas V Kautz - NPI 1205809167

Douglas V Kautz is a Physician Assistant in Rochester, Minnesota. Douglas V Kautz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Douglas V Kautz is 1205809167. The last update date is 2010-03-10.

Douglas V Kautz's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 5072842511. The mailing address for Douglas V Kautz is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas V Kautz
Address 200 1st St Sw, Rochester, Minnesota
Phone Number 5072842511
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1205809167
Provider Enumeration Date 2006-02-10
Last Updated Date 2010-03-10

Provider Mailing Address Detail

Address 200 1st St Sw
City Rochester
State Minnesota (MN)
Post Code 559050001
Phone Number 5072842511
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 9311
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100127200 MN --
970012406 MN RAILROAD MEDICARE
ENROLLED MN --

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FAQs about Douglas V Kautz

Could you provide the complete address where Douglas V Kautz is physically located?

The Douglas V Kautz is situated at the following address: 200 1St St Sw, Rochester, MN 559050001.

Could you please share the complete physical location address where Douglas V Kautz's facilities are situated?

The facilities of Douglas V Kautz are physically located at the following address: 200 1St St Sw, Rochester, MN, 559050001.

What is Douglas V Kautz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Douglas V Kautz is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date did the Douglas V Kautz receive the assignment of its 1205809167 from the Centers for Medicare & Medicaid Services?

The Douglas V Kautz was issued its 1205809167 by the Centers for Medicare & Medicaid Services on 2006-02-10.

As of what date was the information pertaining to Douglas V Kautz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Douglas V Kautz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-03-10.

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