Individual
KELLY RUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2202 S PARK ST, MADISON, WI 53713-1916
(608) 443-5480
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
150049
WI
367A00000X
Advanced Practice Midwife
832
NM
Other
Enumeration date
02/22/2018
Last updated
03/25/2024
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