| Brian G Willoughby, MD | |
|
1000 Highway 12, Hettinger, ND 58639 | |
| (701) 567-4561 | |
| Not Available |
| Full Name | Brian G Willoughby |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1000 Highway 12, Hettinger, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801981451 | NPI | - | NPPES |
| 123993 | Other | ND | WORKER'S COMP |
| 7776070 | Medicaid | SD | |
| 14656 | Medicaid | ND | |
| 3018140 | Medicaid | WA | |
| 7088230-00 | Medicaid | MN | |
| 25451 | Other | SIOUX VALLEY | |
| 0568253 | Medicaid | IA | |
| 10781 | Other | ND BLUE CROSS/BLUE SHIELD | |
| 45034068812 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5103 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian G Willoughby, MD 1100 Highway 12, Hettinger, ND 58639-7533 Ph: (701) 567-6130 | Brian G Willoughby, MD 1000 Highway 12, Hettinger, ND 58639 Ph: (701) 567-4561 |
Kent R Hoerauf, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Highway 12, Hettinger, ND 58639 Phone: 701-567-4561 |