Individual
UNKNOWN RUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4539 WOODGATE DR STE A, JANESVILLE, WI 53546-8205
(608) 531-0079
Mailing address
4539 WOODGATE DR STE A, JANESVILLE, WI 53546-8205
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
099.0058709
VT
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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