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Contact Information

MISTY RUDEBUSCH, PA-C
213 S MAIN
HOWARD, SD57349
 Phone: 605-772-4426
 Fax: 605-772-4261
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MISTY RUDEBUSCH · (Female)

NPI Number 1013987478
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/26/2006
Last updated 11/16/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 448
  • SD Medicaid 5300492
  • SD Other 1107619 AMERICA'S PPO
  • SD Other 9235848 DAKOTACARE
  • SD Other 01-18249 MEDICA
  • SD Other S1639 MEDICARE PTAN
  • SD Other 243580 MIDLAND'S CHOICE
  • SD Other AH1341033452 PREFERRED ONE
  • SD Other P00183707 RR MEDICARE
  • SD Other 4995481 WELLMARK
Hospital affiliation(s)
  • AVERA QUEEN OF PEACE - (Acute Care)
    525 N FOSTER
    MITCHELL, SD 57301
  • MADISON COMMUNITY HOSPITAL - CRITICAL ACCESS HOSP - (Critical Access)
    917 N WASHINGTON AVE
    MADISON, SD 57042
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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