Individual
TRACY D RUPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2090 WOODWINDS DR, WOODBURY, MN 55125-2522
(651) 968-5801
(651) 968-5899
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
54982
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD00047663
WA
Other
Enumeration date
10/11/2007
Last updated
07/02/2015
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