Provider Demographics
NPI:1639356603
Name:KURT P HELGERSON MD PC
Entity Type:Organization
Organization Name:KURT P HELGERSON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:HELGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-629-7137
Mailing Address - Street 1:6268 E AB AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49083-9521
Mailing Address - Country:US
Mailing Address - Phone:269-629-7137
Mailing Address - Fax:269-629-7137
Practice Address - Street 1:6268 E AB AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:MI
Practice Address - Zip Code:49083-9521
Practice Address - Country:US
Practice Address - Phone:269-629-7137
Practice Address - Fax:269-629-7137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301406802207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty