Ruder, Dale

Ruder, Dale is an individual health care provider with primary practice located at 900 Peeler St , Kalamazoo MI 49008-2380. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ruder, Dale can be contacted via phone (269) 345-8618.

Contact Information

Primary practice address
900 Peeler St Kalamazoo MI 49008-2380
Phone: (269) 345-8618
Fax: (269) 345-1508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704209555 Michigan

Profile Details

NPI number 1407821531
LBN Legal business name Ruder, Dale
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 13th, 2022 - about 2 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 1407821531 NPPES
Michigan MEDICAID 4299666
Michigan MEDICAID 4865885

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