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Individual

TIMOTHY K. RUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
(608) 251-4156
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1921
(608) 251-4156

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3227
WI

Other

Enumeration date
07/05/2011
Last updated
03/21/2014
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