Individual
DR. ADAM JEFFREY RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
804 23RD ST S, SARTELL, MN 56377-4705
(320) 230-7788
Mailing address
804 23RD ST S, SARTELL, MN 56377-4705
(320) 230-7788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9410217
KS
208100000X
Physical Medicine & Rehabilitation Physician
9410217
KS
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
79270
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
09/03/2025
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