Look up the most recent NPI and PECOS records

Spencer Richard Couturier

Radiology

Allopathic & Osteopathic Physicians

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

PECOS Enrollment

This provider is enrolled in PECOS as SPENCER COUTURIER.

Based on the most recent information from CMS, provider Spencer Richard Couturier is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1508285586
Provider Type
Individual
Full Name
Couturier, Spencer Richard
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/7/2014
Last Updated
5/12/2025

Contact Information

Practice Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1100

(612) 294-4903

Mailing Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1100

(612) 294-4903

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 4301501847 Michigan
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License A149438 California

Provider Identifiers

ID	Description	Issuer
ID $$$$$$$$$	Description Other	Issuer SOCIAL SECURITY NUMBER Michigan

Spencer Richard Couturier

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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