Rupert E Exconde in Minneapolis - Clinical Neurophysiology

Rupert E Exconde - NPI 1780613075

Rupert E Exconde is a Clinical Neurophysiology in Minneapolis, Minnesota. Rupert E Exconde practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Rupert E Exconde is 1780613075. The last update date is 2011-02-09.

Rupert E Exconde's current location address is 2828 Chicago Ave South, Minneapolis, Minnesota. You can contact this provider via phone number 6128791000 and fax number 6128799116. The mailing address for Rupert E Exconde is 2828 Chicago Ave South, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Rupert E Exconde
Address 2828 Chicago Ave South, Minneapolis, Minnesota
Phone Number 6128791000
Fax Number 6128799116
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1780613075
Provider Enumeration Date 2006-07-01
Last Updated Date 2011-02-09

Provider Mailing Address Detail

Address 2828 Chicago Ave South
City Minneapolis
State Minnesota (MN)
Post Code 554071320
Phone Number 6128791000
Fax Number 6128799116

Provider's Primary Taxonomy Detail

Speciality Clinical Neurophysiology
Taxonomy 2084N0600X
Licence No 40392
Definition:
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
142277 MN UCARE
1692244 MN ARAZ
1032021 MN PREFERRED ONE
269A4EX MN BCBS
HP40306 MN HEALTHPARTNERS
05-00009 MN MEDICA PRIMARY
551796 IA --
34202200 WI --
05-00250 MN MEDICA CHOICE
319337300 MN --

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FAQs about Rupert E Exconde

What is the unique 10-digit identification code assigned to Rupert E Exconde by the Centers for Medicare & Medicaid Services?

The Rupert E Exconde has been issued the NPI (National Provider Identifier) 1780613075, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Rupert E Exconde?

The Rupert E Exconde is physically situated at 2828 Chicago Ave South, in the city of Minneapolis, state of MN, with the postal code 554071320.

What is Rupert E Exconde's specialized field of practice, and what is the corresponding taxonomy classification code?

The Rupert E Exconde's area of specialization is Clinical Neurophysiology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0600X.

On what date did the Centers for Medicare & Medicaid Services assign the 1780613075 to Rupert E Exconde?

The Centers for Medicare & Medicaid Services assigned the 1780613075 to Rupert E Exconde on 2006-07-01.

As of what date was the information pertaining to Rupert E Exconde, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Rupert E Exconde, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-02-09.

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