Individual
DR. RUPERT E EXCONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 MINNESOTA DR STE 200, MINNEAPOLIS, MN 55435-5202
(612) 879-1000
(612) 879-9116
Mailing address
3601 MINNESOTA DR STE 200, MINNEAPOLIS, MN 55435-5202
(612) 879-1000
(612) 879-9116
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
40392
MN
2084N0400X
Neurology Physician
Primary
40392
MN
2084N0600X
Clinical Neurophysiology Physician
40392
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-00009
MEDICA PRIMARY
MN
01
—
05-00250
MEDICA CHOICE
MN
05
—
0551796
—
IA
01
—
1032021
PREFERRED ONE
MN
01
—
142277
UCARE
MN
01
—
1692244
ARAZ
MN
01
—
269A4EX
BCBS
MN
05
—
319337300
—
MN
05
—
34202200
—
WI
01
—
HP40306
HEALTHPARTNERS
MN
Enumeration date
07/01/2006
Last updated
08/26/2024
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