Individual
OLIVIA RUDNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 FRANKLIN ST STE 200, MICHIGAN CITY, IN 46360
(219) 872-6200
(219) 879-2915
Mailing address
710 FRANKLIN ST STE 200, MICHIGAN CITY, IN 46360-3564
(219) 872-6200
(219) 879-2915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012921A
IN
Other
Enumeration date
04/20/2017
Last updated
06/28/2018
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