Individual
MATTHEW JOHN RUDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8225 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-5315
(612) 518-7562
Mailing address
8149 PENNSYLVANIA CIR, BLOOMINGTON, MN 55438-1131
(612) 598-4569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10531
MN
363A00000X
Physician Assistant
PA2014-0066
NM
Other
Enumeration date
04/01/2008
Last updated
05/08/2017
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