DR. WALTER WILLIAM RUDZINSKI (NPI# 1891768651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891768651 |
| Entity Type | Individual |
| Full Name | DR. WALTER WILLIAM RUDZINSKI |
| Credential | MD |
| Practice Address |
1500 Sandpoint Rd Munising MI 49862-1406 |
| Practice Telephone | 9063874338 |
| Mailing Telephone | 9063874338 |
| Mailing Fax Number | 9063872825 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
4301116252 | MI | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
01025689A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
1500 SANDPOINT RD |
| City | MUNISING |
| State | MI |
| Zip Code | 49862-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518953934 | David M Gast | Physical Medicine & Rehabilitation | 1500 Sandpoint Rd, Munising, MI 49862 | 2005-09-21 |
| 1427611391 | Munising Memorial Hospital Association | Specialist | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2019-04-17 |
| 1619441730 | Natalie Pianetto Buck | Dermatology | 1500 Sandpoint Rd, Munising, MI 49862 | 2019-01-11 |
| 1780156232 | Dylan Koenig | Physician Assistant | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2018-12-21 |
| 1750894648 | Munising Memorial Hospital Association | Medicare Defined Swing Bed Unit | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2017-11-14 |
| 1841694734 | Sara Carter | Nurse Practitioner | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2014-10-21 |
| 1295143865 | Chelsea Teal Texter | Nurse Practitioner | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2014-07-28 |
| 1043562762 | Munising Memorial Hospital | Family Medicine | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2012-10-04 |
| 1831447770 | Nicole Roth | Physician Assistant | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2012-08-27 |
| 1023370624 | Chelsea Elise Ray | Family Medicine | 1500 Sandpoint Rd, Munising, MI 49862-1406 | 2012-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619202447 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 413 Maple Street, Suite 2, Munising, MI 49862 | 2009-10-13 |
| 1639329287 | George Schultz | Pharmacist | 415 E. Hwy. M-28, Munising, MI 49862 | 2008-09-19 |
| 1376619973 | Victor Adam Patronik | Dentist | 109 East Superior, Munising, MI 49862 | 2006-11-27 |
| 1386650182 | M K Stores Inc | Durable Medical Equipment & Medical Supplies | 415 E M-28, Munising, MI 49862 | 2006-08-01 |
| 1952320509 | Michelle L Sharp | Psychologist | 601 West Superior Street, Munising, MI 49862 | 2006-07-18 |
| 1457309569 | Kurt Richard Olson | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-05-04 |
| 1154592491 | Paula Marie Ackerman | Dietitian, Registered | 1500 Sand Point Rd, Munising, MI 49862 | 2008-03-14 |
| 1669575148 | Superior Walk-in Center, PC | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-09-07 |
| 1043254626 | Mark Walter Olson | Family Medicine | 1504 Sand Point Road, Munising, MI 49862 | 2006-06-15 |
| 1710334636 | Back In Motion Chiropractic LLC | Chiropractor | 413 Maple St, Suite 2, Munising, MI 49862-1088 | 2016-05-20 |
| Find all providers in zip 49862 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467853515 | Michigan Ear, Nose, Throat & Allergy Specialist | Otolaryngology | 1445 Sheldon Rd Ste 300, Grand Haven, MI 49417-2479 | 2014-09-09 |
| 1790004166 | Veritas Group LLC | Otolaryngology | 300 S State St Ste 1, Zeeland, MI 49464-1677 | 2010-05-25 |
| 1144354820 | Shoreline Ent Plc | Otolaryngology | 268 Seminole Rd, Muskegon, MI 49444-3733 | 2007-03-15 |
| 1205920873 | Michael Sherbin | Otolaryngology | 309 Northbound Gratiot Ave, Mount Clemens, MI 48043-5748 | 2006-10-03 |
| 1366462350 | Terry R Degroot | Otolaryngology | 1617 Sheldon Rd, Grand Haven, MI 49417-2543 | 2006-07-20 |
| 1740244870 | Richard J Strabbing | Otolaryngology | 3100 N. Wellness Dr, Holland, MI 49424 | 2006-04-14 |
| 1568423986 | Joe S Chomchai | Otolaryngology | 4851 E Pickard St Ste 2700, Mount Pleasant, MI 48858-2042 | 2006-03-28 |
| 1740265362 | Mehmet Cemal Agabigum | Otolaryngology | 5040 Villa Linde Pkwy, Ste A, Flint, MI 48532-3445 | 2005-12-07 |
| 1437519279 | Kathleen Elizabeth Mcclain | Otolaryngology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2016-03-04 |
| 1285974964 | Drue A Manning | Otolaryngology | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2013-02-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.