Individual
DAVID A RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 W RACINE ST, JEFFERSON, WI 53549-1053
(920) 674-6000
Mailing address
840 W RACINE ST, JEFFERSON, WI 53549-1053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24333
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30470100
—
WI
Enumeration date
07/14/2006
Last updated
07/08/2007
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