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Individual
NORMAN E RUEDIGER
Active
Individual
NORMAN E RUEDIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4862
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097270C
—
KS
01
—
845235
UNITED CONCORDIA
KS
01
—
9177397
DORAL
KS
Enumeration date
05/26/2006
Last updated
03/26/2015
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