Individual
DR. LAURA ANN KROETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Mailing address
2624 9TH AVE S, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10120
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13648
—
ND
01
—
26319
NDBCBS
ND
01
—
274G0BE
MNBCBS
MN
05
—
635192100
—
MN
Enumeration date
09/02/2006
Last updated
09/05/2008
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