Individual
DR. SUSANNE SHAMSOLKOTTABI RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, MAYO MEMORIAL BUILDING, 420 DELAWARE STREET SE, B-515, MINNEAPOLIS, MN 55455
(612) 624-9990
(612) 626-2363
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 294, MINNEAPOLIS, MN 55455
(612) 624-9990
(612) 626-2363
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47567
MN
Other
Enumeration date
11/29/2006
Last updated
08/02/2013
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