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Mandy Mae Rutta

  • Female

Medical Specialty

Professional ID

  • NPI: 1841228509
  • PECOS ID: 7012920077
  • Enrollment ID: I20060718000052
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2006

Hospital Service

  • Hospital CCN1: 520087
  • Business Name (LBN)1: Gundersen Lutheran Medical Center

Medical Practices

  • Organization Name: Gundersen Lutheran Medical Center, Inc.
  • Group Practice ID assigned by PECOS: 2163331414
  • Number of Group Practice member: 570

Location

  • Address1: 1836 S Ave
  • Address2:
  • City: La Crosse
  • State: Wisconsin
  • Zip Code: 54601
  • Phone Number: (608)783-7300

Medical Practices

  • Organization Name: Gundersen Clinic Ltd
  • Group Practice ID assigned by PECOS: 9638082779
  • Number of Group Practice member: 462

Location

  • Address1: 1830 State Hwy 9
  • Address2:
  • City: Decorah
  • State: Iowa
  • Zip Code: 52101
  • Phone Number: (563)382-3140

Location

  • Address1: 1836 S Ave
  • Address2:
  • City: La Crosse
  • State: Wisconsin
  • Zip Code: 54601
  • Phone Number: (608)782-7300

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):