Individual
DAWN KAY RUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4100 LAKE DR SE, SUITE 305, GRAND RAPIDS, MI 49546
(616) 285-1377
(616) 285-1006
Mailing address
61 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4124
(616) 940-0660
(616) 940-1965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002748
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650F111650
BCBSM
MI
Enumeration date
05/23/2006
Last updated
11/19/2008
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