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1164541058
MARY RUDDY
DETROIT, MI
NPI
1164541058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MI 5601004329)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
MARY RUDDY PA-C
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-8040
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Mailing Address
MARY RUDDY PA-C
3990 JOHN R ST DEPT NEUROSURGE
DETROIT, MI 48201-2018
Phone number: 313-578-2245
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