Provider Demographics
NPI:1447281175
Name:BESCHERER, RUDOLPH D JR (DO)
Entity type:Individual
Prefix:DR
First Name:RUDOLPH
Middle Name:D
Last Name:BESCHERER
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:RUDOLPH
Other - Middle Name:DANIEL
Other - Last Name:BESCHERER
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:700 HEPBURN ST STE 104B
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:PA
Mailing Address - Zip Code:17847-2440
Mailing Address - Country:US
Mailing Address - Phone:715-303-7743
Mailing Address - Fax:
Practice Address - Street 1:700 HEPBURN ST STE 104B
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:PA
Practice Address - Zip Code:17847-2440
Practice Address - Country:US
Practice Address - Phone:570-989-4222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2023-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.012594207P00000X, 207P00000X
WI53004-21207P00000X
PAOS-014764207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine