Doctor Name: | ANDREW J RUPPERT |
NPI Number: | 1134154891 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 49603 |
Business Practice Address: | 3300 Oakdale Avenue North Robbinsdale, MN - 55422 |
Business Phone Number: | 7633986611 |
Business Fax Number: | 7633986601 |
Mailing Address: | 2800 Campus Drive, 10 PLYMOUTH |
State: | MN |
Postal Code: | 55441 |
Phone Number: | 7633982203 |
Fax Number: | 7633982233 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 49603 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |