Provider Demographics
NPI:1588721039
Name:KURT AURAND DO PC
Entity type:Organization
Organization Name:KURT AURAND DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:AURAND
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:989-729-4220
Mailing Address - Street 1:812 BRADLEY ST
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-2552
Mailing Address - Country:US
Mailing Address - Phone:989-729-4220
Mailing Address - Fax:989-729-4230
Practice Address - Street 1:812 BRADLEY ST
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-2552
Practice Address - Country:US
Practice Address - Phone:989-729-4220
Practice Address - Fax:989-729-4230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101012725207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1588721039Medicaid
MI0G81113OtherBCBSM
MIDB1985OtherRR MEDICARE
MI1588721039Medicaid
MI0G81113OtherBCBSM
ON85210Medicare PIN
MI104717990Medicaid
MI1009395OtherCOUNTY HEALTH PLAN
MI0P15660-001Medicare ID - Type UnspecifiedNURSE PRACTITIONER
MIP00092088OtherRAILROAD MEDICARE
ON85210Medicare PIN
1657801365OtherBCBSM
=========OtherFEDERAL TIN