Individual
GERARD RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-8050
Mailing address
245 STATE ST SE, STE 228, GRAND RAPIDS, MI 49503-4328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301062586
MI
Other
Enumeration date
03/30/2012
Last updated
12/21/2021
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