William Lawrence Rudberg in Grand Blanc - Physician Assistant

William Lawrence Rudberg - NPI 1194942243

William Lawrence Rudberg is a Physician Assistant in Grand Blanc, Michigan. William Lawrence Rudberg practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William Lawrence Rudberg is 1194942243. The last update date is 2022-03-14.

William Lawrence Rudberg's current location address is 1 Genesys Pkwy Ste 3452, Grand Blanc, Michigan. You can contact this provider via phone number 2488492600 and fax number 2488492610. The mailing address for William Lawrence Rudberg is 1 Genesys Pkwy Ste 3452, Grand Blanc, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name William Lawrence Rudberg
Address 1 Genesys Pkwy Ste 3452, Grand Blanc, Michigan
Phone Number 2488492600
Fax Number 2488492610
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1194942243
Provider Enumeration Date 2007-04-19
Last Updated Date 2022-03-14

Provider Mailing Address Detail

Address 1 Genesys Pkwy Ste 3452
City Grand Blanc
State Michigan (MI)
Post Code 484398065
Phone Number 2488492600
Fax Number 2488492610

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601002995
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about William Lawrence Rudberg

What is the unique 10-digit identifier code assigned to William Lawrence Rudberg by the Centers for Medicare & Medicaid Services?

The William Lawrence Rudberg has been issued the NPI (National Provider Identifier) 1194942243 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of William Lawrence Rudberg?

The William Lawrence Rudberg is situated at 1 Genesys Pkwy Ste 3452, in the city of Grand Blanc, state of MI, with the zip code 484398065.

What is William Lawrence Rudberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for William Lawrence Rudberg is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date was the 1194942243 assigned to William Lawrence Rudberg?

The William Lawrence Rudberg was issued its 1194942243 on 2007-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to William Lawrence Rudberg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to William Lawrence Rudberg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-03-14.

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