Provider Demographics
NPI:1407832272
Name:KURTZ, MICHAEL LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LOUIS
Last Name:KURTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3300 S PARKER RD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3518
Mailing Address - Country:US
Mailing Address - Phone:303-699-6200
Mailing Address - Fax:720-870-0242
Practice Address - Street 1:5657 S HIMALAYA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-5307
Practice Address - Country:US
Practice Address - Phone:303-699-6200
Practice Address - Fax:720-870-0242
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2016-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO15529208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01155290Medicaid
CO01155290Medicaid
D22872Medicare UPIN