Individual
DR. GORAN TODOR RUDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5663 S 27TH ST, MILWAUKEE, WI 53221-4107
(414) 389-3146
Mailing address
5663 S 27TH ST, MILWAUKEE, WI 53221-4107
(414) 389-3146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40975
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32557800
—
WI
Enumeration date
03/15/2006
Last updated
05/15/2014
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