Individual
KOURTNEY RUDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT017584
PA
207RR0500X
Rheumatology Physician
Primary
OS019999
PA
207RR0500X
Rheumatology Physician
OT017584
PA
Other
Enumeration date
04/24/2017
Last updated
09/01/2022
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