Individual
ANDY J RUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16315 W SENTINAL ROCK LN, SURPRISE, AZ 85387-2765
(715) 214-8453
Mailing address
16315 W SENTINAL ROCK LN, SURPRISE, AZ 85387-2765
(715) 214-8453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2468035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38585600
—
WI
Enumeration date
10/04/2006
Last updated
09/26/2022
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