Individual
RANDALL CHARLES HURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 CARKOSKI COMMONS, MINNESOTA STATE UNIVERSITY, MANKATO, MANKATO, MN 56001-6030
(507) 389-6276
(507) 389-5787
Mailing address
MSU, MANKATO, 21 CARKOSKI COMMONS, MANKATO, MN 56001
(507) 389-6276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27689
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-14-628
MEDICA
MN
01
—
122248
UCARE
MN
01
—
247M2HU
BCBS
MN
Enumeration date
10/10/2005
Last updated
07/08/2007
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