Edmund Robert Rudnicke in Saint Joseph - General Practice
Edmund Robert Rudnicke - NPI 1679676951
Edmund Robert Rudnicke is a General Practice in Saint Joseph, Illinois. Edmund Robert Rudnicke practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edmund Robert Rudnicke is 1679676951. The last update date is 2007-07-08.
Edmund Robert Rudnicke's current location address is Po Box 678, Saint Joseph, Illinois. You can contact this provider via phone number 2174692202 and fax number 2174692213. The mailing address for Edmund Robert Rudnicke is Po Box 678, Saint Joseph, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edmund Robert Rudnicke |
|---|---|
| Address | Po Box 678, Saint Joseph, Illinois |
| Phone Number | 2174692202 |
| Fax Number | 2174692213 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1679676951 |
|---|---|
| Provider Enumeration Date | 2006-09-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 678 |
|---|---|
| City | Saint Joseph |
| State | Illinois (IL) |
| Post Code | 618730678 |
| Phone Number | 2174692202 |
| Fax Number | 2174692213 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Edmund Robert Rudnicke's unique identification number?
The Edmund Robert Rudnicke has been assigned the NPI (National Provider Identifier) Number 1679676951 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Edmund Robert Rudnicke's physical address?
The Edmund Robert Rudnicke is physically located at Po Box 678, in the city of Saint Joseph, IL, with the postal code 618730678.
What is Edmund Robert Rudnicke's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edmund Robert Rudnicke is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Edmund Robert Rudnicke receive its 1679676951 assignment from the Centers for Medicare & Medicaid Services?
The Edmund Robert Rudnicke was assigned its 1679676951 by the Centers for Medicare & Medicaid Services on 2006-09-05.
As of what date were the details pertaining to Edmund Robert Rudnicke last refreshed?
The information related to the Edmund Robert Rudnicke, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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