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Individual

BRENT A RUDISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2412 E MAIN ST, PLAINFIELD, IN 46168-2706
(317) 204-6910
Mailing address
11523 WILDLIFE CT, ZIONSVILLE, IN 46077-2205
(317) 413-9112

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02002497A
IN
207P00000X
Emergency Medicine Physician
Primary
036111757
IL

Other

Enumeration date
09/21/2006
Last updated
04/07/2026
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