Individual
DANIEL O RUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
800 FREEPORT AVE NW, SUITE 100B, ELK RIVER, MN 55330-2723
(763) 257-8080
Mailing address
11104 187TH AVE NW, ELK RIVER, MN 55330-7805
(612) 327-6592
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9429
MN
Other
Enumeration date
04/03/2006
Last updated
01/18/2008
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