| Goran T Rudic Md Sc | |
|
5663 S 27th St Milwaukee WI 53221-4107 | |
| (414) 281-0251 | |
| (414) 281-0271 |
| Full Name | Goran T Rudic Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 5663 S 27th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Delores G Manion (BILLING MANAGER) |
| Authorized Official Contact | 4142810251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goran T Rudic Md Sc 5663 S 27th St Milwaukee WI 53221-4107 Ph: (414) 281-0251 | Goran T Rudic Md Sc 5663 S 27th St Milwaukee WI 53221-4107 Ph: (414) 281-0251 |
| NPI Number | 1538251335 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 02/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538251335 | NPI | - | NPPES |
| DC5043 | Other | GA | RAILROAD MEDICARE |
| 21281600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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