Individual
DR. KRISTINE O. RUDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1135 W UNIVERSITY DR, SUITE 250, ROCHESTER HILLS, MI 48307-1871
(248) 453-0194
(248) 453-0211
Mailing address
688 BROOKWOOD LN E, ROCHESTER HILLS, MI 48309-1540
(248) 765-4637
(248) 650-2371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301050542
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3084686
—
MI
Enumeration date
07/31/2006
Last updated
05/27/2013
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