Individual
CHARLES H RUPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
Mailing address
5440 MARINA CLUB DR, WILMINGTON, NC 28409-4104
(910) 452-9770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
053683
NC
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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