Provider Demographics
NPI:1811957095
Name:FUCHS, KURT R (MD)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:R
Last Name:FUCHS
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 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-5000
Mailing Address - Fax:
Practice Address - Street 1:1400 N ACRES RD
Practice Address - Street 2:SUITE 30
Practice Address - City:PRESCOTT
Practice Address - State:WI
Practice Address - Zip Code:54021-7038
Practice Address - Country:US
Practice Address - Phone:715-262-4441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN34591207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN01-15317OtherMEDICA
MN104513OtherUCARE MINNESOTA
MNHP16248OtherHEALTH PARTNERS
MN447717100Medicaid
MN8D970FUOtherBLUE CROSS
MNFP0258OtherAMERICA'S PPO
MN447717100OtherGROUP HEALTH EAU CLAIRE
MN080104002OtherRAILROAD MEDICARE
WI32194000Medicaid
MN66-02414OtherMEDICA URGENT CARE
MNNA9141000799OtherPREFERRED ONE
MN447717100Medicaid
MNF71212Medicare UPIN