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

Mr. Jack George Rudolph

Individual provider Counselor · NPI 1487823308

Mr. Jack George Rudolph is a Counselor in Medford, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
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Practice location Address checks out

540 College Ave
Medford, WI 54451-2027
Phone: (715) 748-3332
Fax: (715) 748-3342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 2651-125 (WI)

Record details

NPI number1487823308
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 25, 2008
Last updated in NPPESMarch 13, 2008