Most Relevant Information
Provider Data
| NPI Number: | 1003228743 |
| Provider Name: | CHARLOTTE REBECCA RUTKOWSKI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 66921-20 |
Most Important Dates
| Enumeration Date: | 05/29/2014 |
| Last Updated: | 08/19/2022 |
Provider Practice Location
1701 FOND DU LAC AVE
KEWASKUM
WI
530409129
Practice Location Phone/Fax
| Phone: | 2626264616 |
| Fax: |
Provider Mailing Location
1701 FOND DU LAC AVE
KEWASKUM
WI
530409129
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR