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NPI Code Detail

MEDICARE: NATHAN J RUDIN MD

MEDICARE: NATHAN J RUDIN 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
1208100000XPhysical Medicine & Rehabilitation Physician42596WI

General Provider Information

NPI Number : 1972567527
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN J RUDIN MD
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5249 E TERRACE DR
Second Line :
City : MADISON
State : WI
Zip : 53718-8339
Country : US
Telephone Number : 608-263-9550
Fax Number : 608-263-0135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 01/19/2021

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