| Doctor Name: | ALAN RUDICK |
| NPI Number: | 1508866971 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 34-00-4756 |
| Business Practice Address: | 1330 Mercy Dr Nw Ste 418 Canton, OH - 447082626 |
| Business Phone Number: | 3304891454 |
| Business Fax Number: | 3304306913 |
| Mailing Address: | 1330 Mercy Dr Nw, Ste 418 CANTON |
| State: | OH |
| Postal Code: | 447082626 |
| Phone Number: | 3304891454 |
| Fax Number: | 3304306913 |
| NPI Enumeration Date: | 07/28/2005 |
| NPI Last Update Date: | 05/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 34-00-4756 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |