Individual
GERRARD RUDMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
81 SPRING ST, DEXTER, ME 04930-1511
(207) 924-3444
Mailing address
PO BOX 166, DEXTER, ME 04930-0166
(207) 924-3444
(207) 924-5627
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT604
ME
152WC0802X
Corneal and Contact Management Optometrist
OPT604
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024257
ANTHEM BC/BS
ME
01
—
1042368
AETNA
ME
Enumeration date
11/08/2006
Last updated
01/16/2008
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