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Individual

MR. RADU RAUTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-5422
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9001
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040759
SD WELLMARK
01
1134213671
BCBSND PROVIDER #
ND
05
12315
ND
01
25177
SIOUX VALLEY
05
45034068812
NE
05
77705940
SD
Enumeration date
10/02/2006
Last updated
02/20/2021
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