Individual
RUSSELL S SUDBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-8360
(715) 361-4700
Mailing address
2251 N SHORE DR, RHINELANDER, WI 54501-8360
(715) 361-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29680
WI
Other
Enumeration date
05/23/2006
Last updated
05/23/2012
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