Individual
DR. EHREN RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-5151
(651) 254-4123
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 625-3926
(612) 625-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
56702
MN
2086S0102X
Surgical Critical Care Physician
56702
MN
Other
Enumeration date
04/20/2010
Last updated
09/03/2019
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