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Individual

DR. DAVID MARK RUTTUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2055 MOUNT KISCO DR, ELM GROVE, WI 53122-1152
(262) 786-4567
Mailing address
2055 MOUNT KISCO DR, ELM GROVE, WI 53122-1152
(262) 786-4567

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49633 - 20
WI

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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