Individual
DR. DAVID A RUEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5150 BRADENTON AVE STE A, DUBLIN, OH 43017-7589
(614) 793-8544
(615) 793-8563
Mailing address
3600 OLENTANGY RIVER RD, SUITE 490, COLUMBUS, OH 43214-3437
(614) 459-1000
(614) 459-1382
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35051401
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117000
—
OH
01
—
311621914
TAX ID
OH
01
—
4034302
MEDICARE PTAN
OH
Enumeration date
08/31/2006
Last updated
10/28/2011
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