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Individual

GEORGE H RUDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1405 SPRING ST, JEFFERSONVILLE, IN 47130-3736
(812) 283-0728
(812) 283-0792
Mailing address
6420 DUTCHMANS PKWY, 380, LOUISVILLE, KY 40205-3372
(502) 894-8441
(812) 283-0792

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01020508
IN
207Y00000X
Otolaryngology Physician
15818
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000045442
ANTHEM FACET NUMBER
KY
01
040012437
RAILROAD MEDICARE
IN
05
100047300A
IN
05
64158181
KY
Enumeration date
07/07/2005
Last updated
12/03/2009
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