Paul M Rudy MD

NPI 1093794745 - Family Medicine - 207Q00000X

NPI Details
NPI 1093794745
Gender Male
Enumeration Date 01/11/2006
Last Updated 01/15/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
110 S DEPOT ST
ANNAWAN IL, 61234-7768, US
Phone (309) 944-5124
Fax (309) 721-1407
Business Location
110 S DEPOT ST
ANNAWAN IL, 61234-7768, US
Phone (309) 944-5124
Fax (309) 721-1407
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036075553
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According to our database, Paul M Rudy MD NPI is 1093794745, taxonomy code is 207Q00000X and license number is 036075553, license state is located at Illinois. Paul M Rudy MD physically located at 110 S Depot St, Annawan IL, 61234-7768. NPI Number Paul M Rudy MD has the Individual type.

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1093794745 NPI number is provided on an as is basis without warranty of any kind. 1093794745 is maintained by the National Plan & Provider Enumeration System. The contents of Paul M Rudy MD are for informational purposes only.