Individual
DR. RYAN A. HOOVESTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2498
(701) 221-9152
(701) 221-0918
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 221-9152
(701) 221-0918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11954
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452578
—
ND
Enumeration date
08/01/2008
Last updated
03/28/2025
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