Individual
DR. MICHAEL LAWRENCE RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2104 E CENTER ST, WARSAW, IN 46580-3704
(574) 269-1787
(574) 267-1610
Mailing address
2104 E CENTER ST, WARSAW, IN 46580-3704
(574) 269-1787
(574) 267-1610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010923A
IN
Other
Enumeration date
04/17/2007
Last updated
12/02/2008
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