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Individual

DR. SARAH JOY RUTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
2 ENTERPRISE AVE NE STE C1, ISANTI, MN 55040-6811
(763) 444-4668
(763) 444-7952
Mailing address
2 ENTERPRISE AVE NE STE C1, ISANTI, MN 55040-6811
(763) 444-4668
(763) 444-7952

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5006
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114101276
MN
01
13363885723
GROUP NPI
MN
01
350004241
MEDICARE PTAN
MN
Enumeration date
12/26/2007
Last updated
09/24/2018
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