Basic Information
Provider Information
NPI: 1548209398
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHEURER
FirstName: KURT
MiddleName: KARL
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7505 METRO BLVD STE 400
Address2:  
City: EDINA
State: MN
PostalCode: 554393010
CountryCode: US
TelephoneNumber: 6125732200
FaxNumber: 6125732274
Practice Location
Address1: 4801 W 81ST ST STE 108
Address2:  
City: BLOOMINGTON
State: MN
PostalCode: 55437
CountryCode: US
TelephoneNumber: 9528379700
FaxNumber: 9528379701
Other Information
ProviderEnumerationDate: 06/06/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X22949MNY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
HP1433101MNHEALTHPARTNERSOTHER
055461805IA MEDICAID
161672301MNMEDICAOTHER
30008533801MNRAILROAD MEDICARE MNOTHER
2300801MNAMERICA'S PPOOTHER
3069100005WI MEDICAID
97037720005MN MEDICAID
10070501MNUCAREOTHER
101581101MNPREFERRED ONEOTHER
40105SC01MNBLUE CROSSOTHER
303G3SC01MNBLUE CROSSOTHER


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