Rudel, Mark Allen

Rudel, Mark Allen is an individual health care provider with primary practice located at 4801 Veterans Dr , Saint Cloud MN 56303-2015. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rudel, Mark Allen can be contacted via phone (320) 255-6480.

Contact Information

Primary practice address
4801 Veterans Dr Saint Cloud MN 56303-2015
Phone: (320) 255-6480
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9672 Minnesota

Profile Details

NPI number 1194799981
LBN Legal business name Rudel, Mark Allen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Dec 22nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194799981 NPPES
Minnesota MEDICAID 443919800

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