Healthcare Provider Details

I. General information

NPI: 1386625192
Provider Name (Legal Business Name): ROBERT ALAN HOERR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E SUPERIOR ST STE L401
DULUTH MN
55802-2207
US

IV. Provider business mailing address

1001 E SUPERIOR ST STE 401
DULUTH MN
55802-2229
US

V. Phone/Fax

Practice location:
  • Phone: 218-249-7960
  • Fax: 218-249-7997
Mailing address:
  • Phone: 218-249-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35204
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number46206
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: