Madeline Grace Rudolph

NPI #1083124267 in Hamilton, Michigan

Provider Information

NPI Number: 1083124267
Entity Type: Individual
Name: Madeline Grace Rudolph
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 2, 2017
Last Updated: Oct 2, 2017

Practice Location

Address: 3586 WALNUT PARK DR
City: Hamilton
State: Michigan
ZIP Code: 49419-9639
Phone: (269) 455-8621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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