Individual
MARILYN J GOSKE RUDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE, ML 5031, CINCINNATO, OH 45229-3039
(513) 636-4251
(513) 636-8145
Mailing address
3333 BURNET AVE, ML 5021, CINCINNATI, OH 45229-3039
(513) 636-2039
(866) 851-6567
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
35-054587
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2625261
—
OH
Enumeration date
07/10/2006
Last updated
11/23/2007
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