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1134394059
STACEY LYNN RUDY
BINGHAM FARMS, MI
NPI
1134394059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003168)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
MS. STACEY LYNN RUDY PA-C
30800 TELEGRAPH RD SUITE 3900
BINGHAM FARMS, MI 48025-4542
Phone number: 248-712-2100
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Mailing Address
MS. STACEY LYNN RUDY PA-C
3235 MCCORMICK DR
WATERFORD, MI 48328-1641
Phone number: 248-840-3221
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