Individual
LO'RELL RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5500 AUTO CLUB DR, DEARBORN, MI 48126
(313) 425-4500
Mailing address
19470 GOLDWIN ST, SOUTHFIELD, MI 48075-7222
(330) 592-1719
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101021994
MI
Other
Enumeration date
04/15/2014
Last updated
03/24/2021
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