Most Relevant Information
Provider Data
| NPI Number: | 1003358714 |
| Provider Name: | MICHAEL RUDISILL |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/11/2016 |
| Last Updated: | 11/11/2016 |
Provider Practice Location
137 BELFRY HWY
CODY
WY
824149524
Practice Location Phone/Fax
| Phone: | 3075863725 |
| Fax: |
Provider Mailing Location
137 BELFRY HWY
CODY
WY
824149524
Provider Mailing Phone/Fax
| Phone: | 3075863725 |
| Fax: |