George H Kuzma, MD
Individual provider Active NPI Family Medicine Physician · Wheaton, MN
NPI 1457540783 · NPPES record last updated Jul 7, 2008
Key facts
- NPI
- 1457540783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 103817 (MN)
- Practice address
- 401 12TH St N
Wheaton, MN 56296-1070 - Phone
- (320) 563-8226
- Fax
- (320) 563-0212
- NPI assigned
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103817 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 103817 | MN | Yes |
Addresses
Primary practice location
401 12TH St N
Wheaton, MN 56296-1070
Mailing address
401 12TH St N
Wheaton, MN 56296-1070
Phone (320) 563-8226
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- Amy M. Hodenfield
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All providers in Wheaton, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.