Individual
MATTHEW RUDNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43361 COMMONS DR, CLINTON TOWNSHIP, MI 48038-1109
(586) 745-3006
Mailing address
43361 COMMONS DR, CLINTON TOWNSHIP, MI 48038-1109
(586) 838-6614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704294862
MI
Other
Enumeration date
09/17/2018
Last updated
12/17/2020
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