Individual
MRS. MARILYNN ELIZABETH RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT, AE-C
Contact information
Practice address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1117
(763) 898-1061
Mailing address
10569 QUINCY BLVD NE, BLAINE, MN 55434-2721
(763) 717-1564
Taxonomy
Speciality
Code
Description
License number
State
2279P1006X
Pulmonary Function Technologist Registered Respiratory Therapist
Primary
1275
MN
Other
Enumeration date
01/05/2007
Last updated
06/15/2010
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