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Individual

LAURA E. RATHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
320 EAST MAIN STREET, CROSBY, MN 56441-1645
(218) 546-8375
(218) 546-4400
Mailing address
320 EAST MAIN STREET, CROSBY, MN 56441-1645
(218) 546-8375
(218) 546-4400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54861
MN
207R00000X
Internal Medicine Physician
9779
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000095821
BCBS PIN
MT
01
0036296
MDCD PIN
MT
01
116237300
MDCD PIN
WY
Enumeration date
09/21/2006
Last updated
11/08/2012
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