Individual
DR. GLENNARD STEPHEN RUEDISUELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2338 N WEST ST, LIMA, OH 45801-2051
(419) 224-8000
Mailing address
1421 TIMBERLANE DR, LIMA, OH 45805-3634
(419) 227-2722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35037665
OH
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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