Individual
KENNETH SAMUEL RUDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1540 LAKE LANSING RD, SUITE G06, LANSING, MI 48912-3756
(517) 482-7246
(517) 484-7377
Mailing address
1540 LAKE LANSING RD, SUITE G06, LANSING, MI 48912-3756
(517) 482-7246
(517) 484-7377
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301049943
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301049943
MI
208VP0000X
Pain Medicine Physician
4301049943
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301049943
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1984819
—
MI
05
—
2919118
—
MI
Enumeration date
03/31/2006
Last updated
04/17/2009
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