NPI 1104869379

Teresa L Rudolph, MD

Practitioner Family Medicine Physician Neenah, WI

Practice location

Address: 1504 S Commercial St, Neenah, WI 54956-4802
Phone: (920) 729-6088
Fax: (920) 729-6484
Mailing address: PO Box 8003, Appleton, WI 54912-8003

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 31387 (WI)

Other Family Medicine providers in Wisconsin →

Registry record

NPI: 1104869379
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2006
Record last updated: 14 Apr 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.