Individual
KENT R HOERAUF
Active
Individual
KENT R HOERAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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