Individual
TRACY R RUEDISUELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(937) 424-2215
(937) 252-1224
Mailing address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(937) 424-2215
(937) 252-1224
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.003411
OH
Other
Enumeration date
01/20/2012
Last updated
07/22/2014
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