Individual
RS LYLE HILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-2309
(701) 234-7154
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-2309
(701) 234-7154
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2779
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040824
PREFERREDONE
—
05
—
12681
—
ND
01
—
1602878
MEDICA
—
01
—
24193
NDBCBS
—
01
—
781S8HI
MN BCBS
—
01
—
HP40989
HEALTHPARTNERS
—
Enumeration date
12/06/2006
Last updated
07/08/2007
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