Individual
HENRY J RUPP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
559 CAPITOL BLVD, SAINT PAUL, MN 55103-2101
(651) 232-2000
(651) 232-2118
Mailing address
3472 MILTON ST N, SHOREVIEW, MN 55126-8004
(651) 484-1872
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20306
MN
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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