Individual
MS. MISTY RUDEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
213 S MAIN, HOWARD, SD 57349
(605) 772-4426
(605) 772-4261
Mailing address
213 S MAIN, HOWARD, SD 57349
(605) 772-4426
(605) 772-4261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
448
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-18249
MEDICA
SD
01
—
1107619
AMERICA'S PPO
SD
01
—
243580
MIDLAND'S CHOICE
SD
01
—
4995481
WELLMARK
SD
05
—
5300492
—
SD
01
—
9235848
DAKOTACARE
SD
01
—
AH1341033452
PREFERRED ONE
SD
01
—
P00183707
RR MEDICARE
SD
01
—
S1639
MEDICARE PTAN
SD
Enumeration date
01/26/2006
Last updated
11/16/2009
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