Individual
MR. COLLIN WOLFE RUDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8044 MONTGOMERY RD STE 120, CINCINNATI, OH 45236-2919
(513) 607-5128
Mailing address
637 ASPEN LN, BOWLING GREEN, OH 43402-1454
(419) 503-7102
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005608
OH
Other
Enumeration date
12/21/2024
Last updated
05/13/2025
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