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Individual

ERIN RAE SPATENKA RUDOLPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Mailing address
201 9TH AVE NE, WASECA, MN 56093-2843
(507) 676-6275

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13894
MN

Other

Enumeration date
11/04/2021
Last updated
09/06/2024
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