NPI 1134570690

Michael Rudoff, DO

Practitioner Urology Physician Fort Wayne, IN

Practice location

Address: 2512 E Dupont Rd STE 110, Fort Wayne, IN 46825-1609
Phone: (260) 458-3045
Fax: (260) 479-2947
Mailing address: 6920 Pointe Inverness Way STE 200, Fort Wayne, IN 46804-7934

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 02007536A (IN)

Other Urology providers in Indiana →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 5101022797 (MI)

Registry record

NPI: 1134570690
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2016
Record last updated: 11 Jan 2024

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.