Provider Demographics
NPI:1003876459
Name:KURTZ, R COMPTON II (MD)
Entity Type:Individual
Prefix:
First Name:R
Middle Name:COMPTON
Last Name:KURTZ
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5612 BLACK WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:MCFARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-8957
Mailing Address - Country:US
Mailing Address - Phone:608-359-7607
Mailing Address - Fax:
Practice Address - Street 1:5612 BLACK WALNUT DR
Practice Address - Street 2:
Practice Address - City:MCFARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-8957
Practice Address - Country:US
Practice Address - Phone:608-359-7607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI43964207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine