Individual
RUDY J SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
3187 BLUE STEM DR STE 4, WEST FARGO, ND 58078-8008
(701) 235-7379
(701) 235-0977
Mailing address
1165 S COLUMBIA RD STE C, GRAND FORKS, ND 58201-4007
(701) 772-7379
(701) 772-9643
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2211
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14082
—
ND
05
—
40154
—
ND
Enumeration date
09/07/2006
Last updated
09/11/2014
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