| Doctor Name: | DR. WILLIAM BLAKE KUTSCHE |
| NPI Number: | 1215971189 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4301062066 |
| Business Practice Address: | 2323 Texas St Pecos, TX - 797727338 |
| Business Phone Number: | 4324473551 |
| Business Fax Number: | 4324475434 |
| Mailing Address: | 2323 Texas St, PECOS |
| State: | TX |
| Postal Code: | 797727338 |
| Phone Number: | 4324473551 |
| Fax Number: | 4324475434 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 4301062066 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |