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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RUDOLF W CISCO, DPM

Active Sole Proprietor

DR. RUDOLF W CISCO, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in GAINESVILLE, Georgia. NPI 1043236706 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · GAINESVILLE, GA

Registration Details

NPI Number
1043236706
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2006 (20.046828739589 yrs)
Last Updated
Jan 5, 2011
License
000596 (GA)
Sole Proprietor
Yes

Practice Information

Address
1224 SHERWOOD PARK DR NE
GAINESVILLE, GA, 305013445
Browse GA providers · Browse ZIP 30501
Phone
7702870606
Fax
7702870159
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in GAINESVILLE, GA

Name Credential NPI
MARIA MALONE DPM 1851381321
PURVI SHAAN SHAH DPM 1215164942
DR. PATRICK M. QUALTIRE DPM 1326333105
DARRICE COLLINS D.P.M. 1760802268
JAMES BARKSDALE DPM 1720473820
ANA RECENDIZ 1245742642
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.