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Dale G Rupprecht, PA

Physician Assistant in Okemos, MI. Individual provider (NPI-1).

NPI number1346354958
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1346354958
Entity type
Individual (NPI-1)
Name
Dale G Rupprecht
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 19, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5601001704MIYes

Practice location

1667 Hamilton Rd
Okemos, MI 48864-1809

Phone 517-349-9551 · Fax 517-349-7650

Mailing address

1667 Hamilton Rd
Okemos, MI 48864-1809

Phone 517-349-9551 · Fax 517-349-7650

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