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Individual

DR. DARIN S RUTHERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
Mailing address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38108
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
38108
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32445000
WI
Enumeration date
12/26/2006
Last updated
09/28/2011
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