Individual
WILLIAM LAWRENCE RUDBERG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601002995
MI
363AS0400X
Surgical Physician Assistant
Primary
5601002995
MI
Other
Enumeration date
04/19/2007
Last updated
03/21/2025
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