Individual
LUCAS RAY HAAPAPURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301103916
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301103916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60757
MINNESOTA MEDICAL LICENSE
MN
Enumeration date
07/05/2013
Last updated
09/30/2016
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