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Kisuk Wirtz
NPI 1457672800 · Licensed Practical Nurse · Detroit Lakes, MN
Kisuk Wirtz is a Licensed Practical Nurse provider in Detroit Lakes, MN (NPI 1457672800).
Provider details
- NPI number
- 1457672800
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- L48823-7 (MN)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
114 Frazee St E
47854 Swiss Lane
Detroit Lakes, MN 56501-3502
Phone: (218) 573-3898
Street-level locationGet directions
Mailing address
Po Box 884
Ponsford, MN 56575
Registry dates
- Enumerated
- 2010-06-21
- Last updated
- 2010-06-21
Frequently asked questions
- What is Kisuk Wirtz's NPI number?
- Kisuk Wirtz's National Provider Identifier (NPI) is 1457672800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kisuk Wirtz's specialty?
- Kisuk Wirtz is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Kisuk Wirtz located?
- Kisuk Wirtz's practice location on file with NPPES is 114 Frazee St E, Detroit Lakes, MN 56501-3502.
- What is Kisuk Wirtz's phone number?
- The practice phone number listed in the NPPES registry for Kisuk Wirtz is (218) 573-3898.
- Is Kisuk Wirtz's NPI active?
- Yes — Kisuk Wirtz's NPI (1457672800) is active in the NPPES registry as of the last update on 2010-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.