Individual
DR. JOANNE M RUMMELHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7017 OLD SAUK RD, MADISON, WI 53717
(608) 833-1889
(608) 662-7414
Mailing address
2971 CHAPEL VALLEY RD, SUITE 100, MADISON, WI 53711
(608) 661-6400
(608) 661-6414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3628
WI
1223P0300X
Periodontics
3628-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33765100
—
WV
Enumeration date
05/22/2006
Last updated
01/24/2008
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