Healthcare Provider Details

I. General information

NPI: 1487719514
Provider Name (Legal Business Name): MARIE RUEVE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 10/29/2020
Certification Date: 10/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE STE 200
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2123 AUBURN AVE STE 200
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2414
  • Fax: 513-585-3792
Mailing address:
  • Phone: 513-585-2414
  • Fax: 513-585-3792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.085305
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: