Individual
KENT R HOERAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
Mailing address
1100 HIGHWAY 12, HETTINGER, ND 58639-7533
(701) 567-6130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4742
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10773
ND BC/BS
NC
01
—
123993
WORKER'S COMP
ND
05
—
14678
—
ND
05
—
3018140
—
WA
01
—
30786
SIOUX VALLEY
—
05
—
45034068812
—
NE
01
—
4999829
WELLMARCK OF SD
—
05
—
7776130
—
SD
01
—
94433
BLUE CROSS OTHER
—
Enumeration date
10/04/2006
Last updated
07/08/2007
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