Individual
CHARLOTTE REBECCA RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 FOND DU LAC AVE, KEWASKUM, WI 53040-9129
(262) 626-4616
Mailing address
1701 FOND DU LAC AVE, KEWASKUM, WI 53040-9129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
66921-20
WI
Other
Enumeration date
05/29/2014
Last updated
08/19/2022
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