Individual
MR. MORRIE RUDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9200 W WISCONSIN AVE, WAUWATOSA, WI 53226-3522
(414) 805-6501
Mailing address
4323 N WILDWOOD AVE, SHOREWOOD, WI 53211-1437
(414) 962-6357
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7021
WI
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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