Individual
DR. STUART JAY RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1001852
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
5334
ID
Other
Enumeration date
06/26/2017
Last updated
06/30/2025
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