Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 47803-20 | WI |
N | 208D00000X | General Practice Physician | 47803-020 | WI |
NPI | 1164596615 |
---|---|
Provider Name | Dr. Selahattin S. Kurter |
First Address | Oak Creek, WI 53154-1103 |
Second Address | Milwaukee, WI 53202-2085 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 06/11/2015 |