Individual
STANLEY RUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1951 OAK ST, NILES, MI 49120-3738
(269) 262-4749
(269) 262-4739
Mailing address
1951 OAK ST, NILES, MI 49120-3738
(269) 262-4749
(269) 262-4739
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704372138
MI
Other
Enumeration date
01/09/2017
Last updated
01/07/2026
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