Dr Todd Laverne Kanzenbach, MD - Family Medicine in Mankato, MN

Dr Todd Laverne Kanzenbach, MD is a Family Medicine - Sports Medicine physician based in Mankato, Minnesota. Dr Todd Laverne Kanzenbach is licensed to practice in Minnesota (license number 38627) and his current practice location is 21 Carkoski Commons, Minnesota State University, Mankato, Mankato, Minnesota. He can be reached at his office (for appointments etc.) via phone at (507) 389-6276.

NPI number for Dr Todd Laverne Kanzenbach is 1124016597 and his current mailing address is 600 Maywood Ave, 21 Carkoski Commons, Mankato, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124016597.

Contact Information

Dr Todd Laverne Kanzenbach, MD
21 Carkoski Commons, Minnesota State University, Mankato,
Mankato, MN 56001-6030
(507) 389-6276
(507) 389-5787

Map and Direction




Physician's Profile

Full NameDr Todd Laverne Kanzenbach
GenderMale
SpecialityFamily Medicine - Sports Medicine
Location21 Carkoski Commons, Mankato, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124016597
  • Provider Enumeration Date: 10/11/2005
  • Last Update Date: 01/20/2022

Medical Identifiers

Medical identifiers for Dr Todd Laverne Kanzenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124016597NPI-NPPES
01-09557OtherMNMEDICA
247M1KAOtherMNBCBS
140293OtherMNUCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 38627 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Todd Laverne Kanzenbach is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Todd Laverne Kanzenbach, MD
600 Maywood Ave, 21 Carkoski Commons,
Mankato, MN 56001-6441

Ph: (507) 389-1430
Dr Todd Laverne Kanzenbach, MD
21 Carkoski Commons, Minnesota State University, Mankato,
Mankato, MN 56001-6030

Ph: (507) 389-6276

Reviews and Comments


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