Individual
BRETT TUPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7548 236TH ST E, LAKEVILLE, MN 55044-9813
(952) 226-3434
Mailing address
7548 236TH ST E, LAKEVILLE, MN 55044-9813
(952) 226-3434
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
BC142754
MN
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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