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NPI Code Detail

MEDICARE: SENJA ANNA RUUSKA CNM

MEDICARE:   SENJA ANNA RUUSKA  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife549MN

General Provider Information

NPI Number : 1043094204
Entity Type Code : Individual
Provider Name (Legal Business Name) : SENJA ANNA RUUSKA CNM
Provider Business Mailing Address
First Line : 100 E PALKIE RD
Second Line :
City : ESKO
State : MN
Zip : 55733-9723
Country : US
Telephone Number : 218-341-4932
Fax Number :
Provider Business Practice Location Address
First Line : 2000 NORTH AVE
Second Line :
City : NORTHFIELD
State : MN
Zip : 55057-1697
Country : US
Telephone Number : 507-646-1478
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2023
Last Update Date : 08/21/2023

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Directions to “ SENJA ANNA RUUSKA CNM” Practice Location

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