ROBERT JAMES RUDDY D.O. - NPI 1942995287 - Student in an Organized Health Care Education/Training Program in Wyoming, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Robert James Ruddy D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT JAMES RUDDY D.O. (NPI 1942995287) is an individual student in an organized health care education/training program in Wyoming, Michigan and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1942995287

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameROBERT JAMES RUDDYCredential: D.O.

Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606

Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606 · (616) 252-7200 · Fax (616) 252-4953

Phone(616) 252-7200

Fax(616) 252-4953

Sole ProprietorNo

Enumeration DateApril 11, 2023

NPPES CertifiedApril 11, 2023

✔ NPI 1942995287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5900 BYRON CENTER AVE SW, Wyoming, MI 49519

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