Teresa L Rudolph in Appleton - Family Medicine

Teresa L Rudolph - NPI 1104869379

Teresa L Rudolph is a Family Medicine in Appleton, Wisconsin. Teresa L Rudolph practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Teresa L Rudolph is 1104869379. The last update date is 2011-04-14.

Teresa L Rudolph's current location address is Po Box 8003, Appleton, Wisconsin. You can contact this provider via phone number 9209963200 and fax number 9207385787. The mailing address for Teresa L Rudolph is Po Box 8003, Appleton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Teresa L Rudolph
Address Po Box 8003, Appleton, Wisconsin
Phone Number 9209963200
Fax Number 9207385787
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104869379
Provider Enumeration Date 2006-06-14
Last Updated Date 2011-04-14

Provider Mailing Address Detail

Address Po Box 8003
City Appleton
State Wisconsin (WI)
Post Code 549128003
Phone Number 9209963200
Fax Number 9207385787

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 31387
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31670900 WI --

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FAQs about Teresa L Rudolph

What is the unique 10-digit identifier code issued to Teresa L Rudolph by the Centers for Medicare & Medicaid Services?

The Teresa L Rudolph has been assigned the NPI (National Provider Identifier) 1104869379 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Teresa L Rudolph is physically located?

The Teresa L Rudolph is physically situated at the following address: Po Box 8003, Appleton, WI, 549128003.

What is Teresa L Rudolph's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Teresa L Rudolph's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

When was the Teresa L Rudolph's 1104869379 issued?

The Teresa L Rudolph's 1104869379 was issued on 2006-06-14.

When was the information regarding Teresa L Rudolph, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Teresa L Rudolph, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-04-14.

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