Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 100627 | MN |
Y | 225XE1200X | Ergonomics | 100627 | MN |
NPI | 1871755207 |
---|---|
Provider Name | Mrs. Mary Elizabeth Ruprecht |
First Address | Andover, MN 55304 |
Second Address | Andover, MN 55304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 26/06/2008 |