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Individual

SASHA RUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
3100 N TENAYA WAY, LAS VEGAS, NV 89128-0436
(775) 220-9830

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
82630
WI
208M00000X
Hospitalist Physician
Primary
82630
WI

Other

Enumeration date
03/17/2018
Last updated
11/12/2024
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