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Contact Information

MICHAEL D RUDNICK, M.D., PH.D.
28101 E QUINCY AVE
WATKINS, CO80137-9502
 Phone: 303-214-1131
 Fax: 303-766-2042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL D RUDNICK · (Male)

NPI # 1033254974
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 02/20/2007
Last updated 09/12/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 30130
  • CO Medicaid 01301308
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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