Individual
DR. JASON CHARLES RUDELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
309 W. SILVER SPRING DR., GLENDALE, WI 53217
(414) 961-7100
(414) 961-7772
Mailing address
309 W. SILVER SPRING DR., GLENDALE, WI 53217
(414) 961-7100
(414) 961-7772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3853-012
WI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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