Individual
MISS THERESA E RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN LICENSED PRACTIC
Contact information
Practice address
8837 SCHEELE ROAD, CROSS PLAINS, WI 53528
(608) 798-1351
Mailing address
PO BOX 8072, MADISON, WI 53708-8072
(608) 438-9179
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
WI
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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