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1104869379
TERESA L RUDOLPH
NEENAH, WI
NPI
1104869379
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Former Name
TERESA L SHOBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 31387)
Enumeration Date
2006-06-14
Last Update Date
2011-04-14
Business Address
-- TERESA L RUDOLPH MD
1504 S COMMERCIAL ST
NEENAH, WI 54956-4802
Phone number: 920-729-6088
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Mailing Address
-- TERESA L RUDOLPH MD
PO BOX 8003
APPLETON, WI 54912-8003
Phone number: 920-996-3200
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