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Individual

RUDOLF R TESCHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1055 N MAYFAIR RD, WAUWATOSA, WI 53226-3436
(414) 476-8450
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27826
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31433900
WI
01
P01071826
RR MEDICARE
WI
Enumeration date
08/24/2006
Last updated
09/26/2012
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