Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Gerrit Rudolph, MD

Individual provider Pediatrics Physician · NPI 1861477085

Daniel Gerrit Rudolph, MD is a Pediatrics Physician in Festus, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

35 Goodwin Dr
Festus, MO 63028-4122
Phone: (636) 933-4141
Fax: (636) 931-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 105323 (MO)

Record details

NPI number1861477085
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 9, 2005
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023
Mailing address35 Goodwin Drive, Festus, MO 63028-4100

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