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Individual

BUDDY MARK RUMSEY

Active
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Individual

BUDDY MARK RUMSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1505-012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27830
SECURITY HEALTH PLAN
—
05
—
38759800
—
WI
01
—
38988300
MEDICAID GROUP
WI
01
—
CI1364
RAILROAD MEDICARE GROUP
WI
Enumeration date
06/25/2006
Last updated
12/27/2007
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