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Individual

DR. ROBERT THOMAS RUTKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 9TH ST N, SUITE 115, VIRGINIA, MN 55792-2348
(218) 748-7750
(218) 742-8689
Mailing address
901 9TH ST N, SUITE 115, VIRGINIA, MN 55792-2348
(218) 748-7750
(218) 742-8689

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27025
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806763500
MN
Enumeration date
05/10/2006
Last updated
06/22/2011
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