Individual
DR. PEGGY A RUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
318 EAST MAIN STREET, CENTERAL LAKES MEDICAL CLINIC, P.A., CROSBY, MN 56441-1645
(218) 546-8375
(218) 546-4400
Mailing address
318 EAST MAIN STREET, CENTERAL LAKES MEDICAL CLINIC, P.A., CROSBY, MN 56441-1645
(218) 546-8375
(218) 546-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24127
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434800100
—
MN
Enumeration date
10/04/2006
Last updated
09/08/2009
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