Individual
BRENDA RUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 INDEPENDENCE LN, SAUK CITY, WI 53583-1381
(608) 643-2343
Mailing address
880 INDEPENDENCE LN, SAUK CITY, WI 53583-1381
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41121800
—
WI
Enumeration date
05/19/2006
Last updated
10/02/2007
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