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Individual

RICHARD D HURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21114
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080013591
RAILROAD MEDICARE
MN
05
35153100
WI
05
477220200
MN
05
ENROLLED
IA
Enumeration date
02/13/2006
Last updated
11/19/2012
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