Individual
MIKAL RUTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
640 JACKSON ST, MAIL STOP 12101B, SAINT PAUL, MN 55101-2502
(651) 254-1550
Mailing address
1701 CENTURY CIR, APT #106, WOODBURY, MN 55125-2193
(307) 760-9094
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
121070
MN
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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