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Individual

SARULATHA M KUPPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14040 NORTHDALE BLVD, ROGERS, MN 55374
(763) 488-4100
Mailing address
1435 HAMPSHIRE AVE S, #212, ST LOUIS PARK, MN 55426-2167

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49173
MN

Other

Enumeration date
06/26/2007
Last updated
07/08/2007
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