Male or Other

Daniel O. Rude PAC

Physician Assistant in Elk River, MN(View on Map)

Full Name

Daniel O Rude PAC

NPI Number

1558323089

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/03/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

9429

Contact
Information

Purpose

Mailing
Location

Address

11104 187TH AVE NW
800 FREEPORT AVE NW

City

Elk River
Elk River

State

MN
MN

Postal Code

55330-7805
55330-2723

Country

US
US

Telephone Number

(612) 327-6592
(763) 257-8080

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/18/2008

Provider Address

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