Individual
GAIL M RUDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 COMO AVE, SAINT PAUL, MN 55108-1460
(651) 641-6200
(651) 641-6295
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
83790
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26753580Q
—
MN
Enumeration date
02/02/2006
Last updated
02/01/2022
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