Individual
BRADLEY H RUTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2251 CONNECTICUT AVE S, SARTELL, MN 56377-2486
(320) 253-5220
(320) 203-2113
Mailing address
2251 CONNECTICUT AVE S, SARTELL, MN 56377-2486
(320) 253-5220
(320) 203-2113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9022
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472752500
—
MN
Enumeration date
02/24/2006
Last updated
12/01/2015
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