Dr. Michael Dennis Rudnick
Adolescent Medicine
28101 E Quincy Ave
Watkins
, Colorado 80137-9502
Dr. Michael Dennis Rudnick
Adolescent Medicine
28101 E Quincy Ave
Watkins
, Colorado 80137-9502
(303) 766-2042
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Dennis Rudnick
- 28101 E Quincy Ave
- Watkins, CO
- Zip : 80137-9502
- Fax : (303) 766-2042
- Phone : (303) 214-1131
Second Address
- Dr. Michael Dennis Rudnick
- 28101 E Quincy Ave
- Watkins, CO
- Zip : 80137-9502
- Fax : (303) 766-2042
- Phone : (303) 214-1131
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 30130 | CO |
National Provider Identifier
| NPI | 1033254974 |
|---|---|
| Provider Name | Dr. Michael Dennis Rudnick |
| First Address | Watkins, CO 80137-9502 |
| Second Address | Watkins, CO 80137-9502 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2007 |
| Last Update Date | 12/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01301308 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.