Individual provider · Type 1 NPI
Madeline Grace Rudolph
Student in an Organized Health Care Education/Training Program · Hamilton, MI
NPI number
1083124267
Active
Practice location
3586 Walnut Park Dr
Hamilton, MI 49419-9639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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.
About NPI 1083124267
Madeline Grace Rudolph's National Provider Identifier is 1083124267, issued on Oct 2, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hamilton, MI. The record was last updated on Oct 2, 2017.