Individual
MCKENNA ROCHELLE RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 MERRITT RD STE 202, EAST LANSING, MI 48823-6916
(517) 332-4263
Mailing address
2111 MERRITT RD STE 202, EAST LANSING, MI 48823-6916
(517) 332-4263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2023
Last updated
02/14/2024
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