Individual
DR. MICHAEL DENNIS RUDNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
28101 E QUINCY AVE, WATKINS, CO 80137-9502
(303) 214-1131
(303) 766-2042
Mailing address
28101 E QUINCY AVE, WATKINS, CO 80137-9502
(303) 214-1131
(303) 766-2042
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
30130
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01301308
—
CO
Enumeration date
02/20/2007
Last updated
09/12/2016
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