person
Dr. Rudolf W Cisco, DPM
Foot & Ankle Surgery Podiatrist in Gainesville, Georgia
NPI 1043236706

Rudolf W Cisco is a Foot & Ankle Surgery Podiatrist based in Gainesville, GA and is specialized in Foot & Ankle Surgery. Rudolf W Cisco practices in Gainesville, GA and has the professional credentials of DPM. The NPI Number for Rudolf W Cisco is 1043236706 and holds a License No. 000596 (Georgia).

The current practice location address for Rudolf W Cisco is 1224 Sherwood Park Dr Ne, Gainesville, GA and can be reached out via phone at 770-287-0606 and via fax at 770-287-0159. You can also correspond with Rudolf W Cisco through the mailing address at 1224 SHERWOOD PARK DR NE, GAINESVILLE, GA - 30501-3445 (mailing address contact number: 770-287-0606).

Location: 1224 Sherwood Park Dr Ne, Gainesville, GA, 30501-3445
person
Provider Profile Details
NPI Number
1043236706
Provider Name
Rudolf W Cisco
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1224 Sherwood Park Dr Ne, Gainesville, GA, 30501-3445
Phone Number
770-287-0606
Fax Number
770-287-0159
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00409274A 05 GA
institution
Provider Business Practice Location Address Details
Address
1224 Sherwood Park Dr Ne
City
State
Zip
30501-3445
Phone Number
770-287-0606
Fax Number
770-287-0159
person
Provider Business Mailing Address Details
Address
1224 Sherwood Park Dr Ne
City
State
Zip
30501-3445
Phone Number
770-287-0606
Fax Number
770-287-0159
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
000596 (Georgia)
Definition
Definition to come...
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