Unknown Ruddy

NPI #1700112182 in Janesville, Wisconsin

Provider Information

NPI Number: 1700112182
Entity Type: Individual
Name: Unknown Ruddy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Naturopath
Enumeration Date: Oct 20, 2009
Last Updated: Oct 20, 2009

Practice Location

Address: 4539 WOODGATE DR STE A
City: Janesville
State: Wisconsin
ZIP Code: 53546-8205
Phone: (608) 531-0079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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