Most Relevant Information
Provider Data
| NPI Number: | 1003043795 |
| Provider Name: | PAUL RUDEBUSCH |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 2542 |
Most Important Dates
| Enumeration Date: | 06/19/2009 |
| Last Updated: | 06/19/2009 |
Provider Practice Location
820 ROY ST
ORTONVILLE
MN
562781138
Practice Location Phone/Fax
| Phone: | 3208394271 |
| Fax: |
Provider Mailing Location
410 30TH ST NW
#101
WILLMAR
MN
562012346
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |