Individual
ELLIE RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 CONGRESS ST, SHERIDAN, MI 48884
(989) 291-5077
Mailing address
303 CONGRESS ST, SHERIDAN, MI 48884-9215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704302413
MI
Other
Enumeration date
04/24/2017
Last updated
01/31/2020
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