Doctor Name: | DR. THOMAS MARK RUEDIGER |
NPI Number: | 1013907500 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 5501012113 |
Business Practice Address: | 432 N Saginaw St Suite 407 Flint, MI - 485022013 |
Business Phone Number: | 8106181897 |
Business Fax Number: | |
Mailing Address: | 432 N Saginaw St, Suite 407 FLINT |
State: | MI |
Postal Code: | 485022013 |
Phone Number: | 8106181897 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 11/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251E1300X |
License Number: | 5501012113 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Electrophysiology, Clinical |
Taxonomy Definition: |