Rudberg, Matthew John

Rudberg, Matthew John is an individual health care provider with primary practice located at 8225 Flying Cloud Dr , Eden Prairie MN 55344-5315. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rudberg, Matthew John can be contacted via phone (612) 518-7562.

Contact Information

Primary practice address
8225 Flying Cloud Dr Eden Prairie MN 55344-5315
Phone: (612) 518-7562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10531 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2014-0066 New Mexico

Profile Details

NPI number 1962674705
LBN Legal business name Rudberg, Matthew John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated May 8th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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