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

MRS. MARILYNN ELIZABETH RUDOLPH, RRT, AE-C

Active

MRS. MARILYNN ELIZABETH RUDOLPH, RRT, AE-C is a 2279P1006X healthcare provider located in MAPLE GROVE, Minnesota. NPI 1124175435 is currently active in the NPPES registry. Verify at CMS.

2279P1006X · MAPLE GROVE, MN

Registration Details

NPI Number
1124175435
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2007 (19.566260576611 yrs)
Last Updated
Jun 15, 2010
License
1275 (MN)

Practice Information

Address
14500 99TH AVE N
MAPLE GROVE, MN, 553694730
Browse MN providers · Browse ZIP 55369
Phone
7638981117
Fax
7638981061
Primary Specialty
2279P1006X
2279P1006X
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.