Individual
LOGAN STEVEN RUPNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 W MARK ST, WINONA, MN 55987-3384
(507) 457-5575
Mailing address
2405 TUMBLEWEED AVE, WEST BEND, WI 53095-8554
(262) 305-4309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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