Individual
LOREN T VILHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 8TH AVE NW, ABERDEEN, SD 57401-1865
(605) 226-2663
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2867
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0580
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1254560001
CIGNA MEDICARE
SD
05
—
6827400
—
SD
01
—
P00272729
MEDICARE RAILROAD PTAN
—
Enumeration date
01/19/2006
Last updated
12/23/2013
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