Individual
KIM M RUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, R.PH.
Contact information
Practice address
3111 W RAWSON AVE, SUITE 210, FRANKLIN, WI 53132-9417
(414) 325-4370
(414) 761-0713
Mailing address
3245 N 105TH ST, WAUWATOSA, WI 53222-3327
(414) 453-5235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11878
WI
363A00000X
Physician Assistant
1842-023
WI
Other
Enumeration date
07/12/2006
Last updated
09/11/2025
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