Susan Evelyn Rudolph
Dermatologist
1217 8th St N
New Ulm
, Minnesota 56073
Susan Evelyn Rudolph
Dermatologist
1217 8th St N
New Ulm
, Minnesota 56073
(612) 262-5000
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Susan Evelyn Rudolph
- 2925 Chicago Ave
- Minneapolis, MN
- Zip : 55407-1321
- Phone : (612) 262-5000
Second Address
- Susan Evelyn Rudolph
- 1217 8th St N
- New Ulm, MN
- Zip : 56073
- Fax : (507) 233-1327
- Phone : (507) 217-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 49077 | MN |
National Provider Identifier
| NPI | 1043244213 |
|---|---|
| Provider Name | Susan Evelyn Rudolph |
| First Address | Minneapolis, MN 55407-1321 |
| Second Address | New Ulm, MN 56073 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 30/07/2019 |
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.