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Individual

WILLIAM LAWRENCE RUDBERG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-8432
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

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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