Individual provider · Type 1 NPI

William Lawrence Rudberg Jr., P.A.

Surgical Physician Assistant · Troy, MI

NPI number 1194942243 Active

Practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Call (248) 964-8432 Map

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 1 Genesys Pkwy Ste 3452, Grand Blanc, MI 48439-8065 · (248) 849-2600

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601002995 (MI)
Surgical Physician Assistant Primary 363AS0400X5601002995 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1194942243

William Lawrence Rudberg Jr., P.A.'s National Provider Identifier is 1194942243, issued on Apr 19, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Troy, MI. The record was last updated on Mar 21, 2025.