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

Teresa L Rudolph, MD

Individual provider Family Medicine Physician · NPI 1104869379

Teresa L Rudolph, MD is a Family Medicine Physician in Neenah, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
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

1504 S Commercial St
Neenah, WI 54956-4802
Phone: (920) 729-6088
Fax: (920) 729-6484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 31387 (WI)

Record details

NPI number1104869379
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESApril 14, 2011

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