MARK ALLEN RUDEL

SAINT CLOUD, MN
NPI1194799981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  9672)
Enumeration Date2006-02-16
Last Update Date2009-12-22
Business Address
-- MARK ALLEN RUDEL PA
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-255-6480
Mailing Address
-- MARK ALLEN RUDEL PA
5732 EAGLE CT
ST CLOUD, MN 56303
Phone number: 320-240-2344