Provider Demographics
NPI:1548209398
Name:SCHEURER, KURT KARL (MD)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:KARL
Last Name:SCHEURER
Suffix:
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 1:7505 METRO BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-3010
Mailing Address - Country:US
Mailing Address - Phone:612-573-2200
Mailing Address - Fax:612-573-2274
Practice Address - Street 1:4801 W 81ST ST STE 108
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437
Practice Address - Country:US
Practice Address - Phone:952-837-9700
Practice Address - Fax:952-837-9701
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN229492085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP14331OtherHEALTHPARTNERS
IA0554618Medicaid
MN1616723OtherMEDICA
MN300085338OtherRAILROAD MEDICARE MN
MN23008OtherAMERICA'S PPO
WI30691000Medicaid
MN970377200Medicaid
MN100705OtherUCARE
MN1015811OtherPREFERRED ONE
MN40105SCOtherBLUE CROSS
MN303G3SCOtherBLUE CROSS
MN300003005Medicare PIN
IA0554618Medicaid
MN303G3SCOtherBLUE CROSS