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Matthew Rudberg, PA-C
NPI 1962674705 · on the registry since 2008
Practice
- Address
- 8225 Flying Cloud Dr
Eden Prairie, MN 55344 - Phone
- (612) 518-7562
- Organisation at this address
- Chad Dockter Od Ltd
Grand St Paul Cvs Llc
Luxottica Of America IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- MN, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota