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1215914874

NPI Code Detail

MEDICARE: DR. GARY N TOUPS MD

MEDICARE: DR. GARY N TOUPS 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
1	2083A0100X	Aerospace Medicine Physician	59597	MN
2	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	59597	MN
3	207Q00000X	Family Medicine Physician	025335	LA

General Provider Information

NPI Number	:	1215914874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY N TOUPS MD

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2005
Last Update Date	:	08/21/2020

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Directions to “ DR. GARY N TOUPS MD” Practice Location

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