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NPI Code Detail

MEDICARE: FRANCES E TRUITT MD

MEDICARE: FRANCES E TRUITT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician55965-20WI
2207Q00000XFamily Medicine Physician49880MN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00648846OTHERMNMEDICARE, RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417178021
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCES E TRUITT MD
Provider Business Mailing Address
First Line : 210 9TH ST SE STE 1
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-6400
Country : US
Telephone Number : 507-288-3443
Fax Number :
Provider Business Practice Location Address
First Line : 210 9TH ST SE STE 1
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-6400
Country : US
Telephone Number : 507-288-3443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 10/24/2019

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Directions to “ FRANCES E TRUITT MD” Practice Location

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