Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 30513 | MN |
NPI | 1053353094 |
---|---|
Provider Name | Dr. David J Rhude |
First Address | Minneapolis, MN 55416-4344 |
Second Address | Minneapolis, MN 55416-4344 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 09/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
549060000 | (05) | MN |
E26991 | (02) |