Individual
PATRICK RUDERSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8410 S 73RD PLZ, STE 111, PAPILLION, NE 68046-1513
(402) 331-6264
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
761
NE
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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