MICHAEL JAMES KUNSTLE (NPI# 1396174330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396174330 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES KUNSTLE |
| Credential | PAC |
| Practice Address |
111 17th Ave E Suite 101 Alexandria MN 56308-3734 |
| Practice Telephone | 3207621144 |
| Practice Fax Number | 3207621935 |
| Mailing Telephone | 3207621144 |
| Mailing Fax Number | 3207621935 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2014-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
11490 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1113672 | 01 | |
| MN | DEA | MK3050236 | 01 |
| Street Address |
111 17TH AVE E SUITE 101 |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424305 | Douglas County Hospital | General Acute Care Hospital | 111 17th Ave E, Alexandria, MN 56308-3703 | 2005-06-01 |
| 1679047013 | Kayla Hughes | Nurse Anesthetist, Certified Registered | 111 17th Ave E, Alexandria, MN 56308-5273 | 2019-01-18 |
| 1750776530 | Benjamin Andrew Kitt | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2015-03-30 |
| 1760873491 | Amanda Kristine Nefstead | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2015-02-17 |
| 1558767483 | Samantha Bourcy | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2014-11-04 |
| 1083029490 | Amanda Leigh Knettel | Physical Therapist | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-06-24 |
| 1538573613 | Dane Jason Mitteness | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-06-17 |
| 1013334572 | Meghan Ruhr | Registered Nurse | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-03-23 |
| 1598196149 | Heidi Stark | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2013-12-09 |
| 1992147797 | Keri Ann Anderson | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2013-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301607 | Jose Gustavo Espino | Physician Assistant | 6866 Deer Run Dr, Alexandria, VA 22306-1124 | 2016-04-14 |
| 1699327932 | Hannah Madison Segal | Physician Assistant | 2805 Duke St, Alexandria, VA 22314-4512 | 2019-07-16 |
| 1164892204 | Kacey Rae Buckner Lopez | Physician Assistant | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2015-10-01 |
| 1922413905 | Robert Lewis Meadows | Physician Assistant | 3704 North Blvd, Ste C, Alexandria, LA 71301-3658 | 2014-06-27 |
| 1427337716 | Anna Fall Parten | Physician Assistant | 3351 Masonic Dr, Alexandria, LA 71301-3842 | 2011-08-04 |
| 1285955146 | Theodore E Temoshchuk | Physician Assistant | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2010-06-15 |
| 1841441995 | James Brian Broussard | Physician Assistant | 201 4th St, Alexandria, LA 71301-8421 | 2008-10-07 |
| 1952562886 | Jeanine Marie Gargiulo | Physician Assistant | 2501 Parkers Ln, Suite 200, Alexandria, VA 22306-3209 | 2008-06-23 |
| 1255523346 | Jamie Marie Wallace | Physician Assistant | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3900 | 2007-08-13 |
| 1790994812 | Terence Scott Crosby | Physician Assistant | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2007-05-22 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on MICHAEL JAMES KUNSTLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.