NPI 1265096374

Brett Tupy

Practitioner Contractor Lakeville, MN

Practice location

Address: 7548 236th St E, Lakeville, MN 55044-9813
Phone: (952) 226-3434

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence BC142754 (MN)

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Registry record

NPI: 1265096374
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2019
Record last updated: 24 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.