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Search › Minnesota › 101YA0400X

Matthew Rupp, LADC

NPI 1417404880 · on the registry since 2016

Practice

Address
1900 Silver Lake Road Nw
Suite 110
New Brighton, MN 55112
Phone
(651) 379-1718
Fax
(651) 379-1738
Organisation at this address
Genoa Healthcare Llc
Nystrom & Associates, Ltd
Nystrom & Associates, Ltd
Nystrom & Associates, Ltd
Nystrom & Associates, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
259

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota