Provider Demographics
NPI:1093902975
Name:RUPPEL, XIN (PHARMD/MBA)
Entity Type:Individual
Prefix:DR
First Name:XIN
Middle Name:
Last Name:RUPPEL
Suffix:
Gender:F
Credentials:PHARMD/MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N OAK AVE
Mailing Address - Street 2:LQ4
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-5703
Mailing Address - Country:US
Mailing Address - Phone:715-221-7108
Mailing Address - Fax:715-221-7880
Practice Address - Street 1:1000 N OAK AVE # FHP
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-5703
Practice Address - Country:US
Practice Address - Phone:715-389-7474
Practice Address - Fax:715-221-8748
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15050-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist