Individual
GRETCHEN RUDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 W MAIN ST, MANDAN, ND 58554-3146
(701) 663-5373
Mailing address
408 106X AVE SW, KILLDEER, ND 58640-9377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
23522
WY
163W00000X
Registered Nurse
Primary
R39543
ND
163W00000X
Registered Nurse
RN34499
MT
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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