Individual
DORIS L RUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
7520 US HIGHWAY 51 S, MINOCQUA, WI 54548-9202
(715) 358-1911
(715) 358-1912
Mailing address
7520 US HIGHWAY 51 S, MINOCQUA, WI 54548-9202
(715) 358-1911
(715) 358-1912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1278-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052540001
DMERC NUMBER
WI
05
—
43878900
—
WI
Enumeration date
11/13/2006
Last updated
03/18/2008
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