Individual
DR. JAMES L RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-3632
(262) 548-7950
(252) 896-8046
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3632
(262) 548-7950
(252) 970-6696
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47542-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34605800
—
WI
01
—
47542-20
STATE LICENSE NUMBER
WI
Enumeration date
12/22/2006
Last updated
01/05/2021
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