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NPI Code Detail

MEDICARE: RUFUS RODRIGUEZ MD

MEDICARE:   RUFUS  RODRIGUEZ  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
12085R0202XDiagnostic Radiology Physician34501MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116-03136OTHERMNMEDICA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3861S7ROOTHERMNBLUE CROSS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
52055380OTHERMNARAZ
638408OTHERMNSIOUX VALLEY
79958OTHERMNAVERA
8MH9041013411OTHERMNPREFERREDONE
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11HP17646OTHERMNHEALTHPARTNERS

General Provider Information

NPI Number : 1649257270
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUFUS RODRIGUEZ MD
Provider Business Mailing Address
First Line : 800 MEDICAL CENTER DR
Second Line : PO BOX 800
City : FAIRMONT
State : MN
Zip : 56031-4575
Country : US
Telephone Number : 507-238-8555
Fax Number :
Provider Business Practice Location Address
First Line : 800 MEDICAL CENTER DR
Second Line :
City : FAIRMONT
State : MN
Zip : 56031-4575
Country : US
Telephone Number : 507-238-8555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2005
Last Update Date : 06/05/2026

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Directions to “ RUFUS RODRIGUEZ MD” Practice Location

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