NPI 1124175435

Marilynn Elizabeth Rudolph, RRTAEC

Practitioner Pulmonary Function Technologist Registered Respiratory Therapist Maple Grove, MN

Practice location

Address: 14500 99th Ave N, Maple Grove, MN 55369-4730
Phone: (763) 898-1117
Fax: (763) 898-1061
Mailing address: 10569 Quincy Blvd NE, Blaine, MN 55434-2721

Registered specialties

Pulmonary Function Technologist Registered Respiratory Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2279P1006X Licence 1275 (MN)

Other Respiratory Therapist, Registered providers in Minnesota →

Registry record

NPI: 1124175435
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jan 2007
Record last updated: 15 Jun 2010

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.