Healthcare Provider Details

I. General information

NPI: 1407506488
Provider Name (Legal Business Name): RACHEL ERDMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL PARUPSKY MD

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20520 KEOKUK AVE STE 200
LAKEVILLE MN
55044-6084
US

IV. Provider business mailing address

20520 KEOKUK AVE STE 200
LAKEVILLE MN
55044-6084
US

V. Phone/Fax

Practice location:
  • Phone: 952-435-2450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number79861
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: