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NPI Code Detail

MEDICARE: ANGELA INES RUIZ MD

MEDICARE: ANGELA INES RUIZ MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician4301087044MI

General Provider Information

NPI Number : 1689789810
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA INES RUIZ MD
Provider Business Mailing Address
First Line : 333 W 10TH AVE
Second Line : 4162 GRAVES HALL
City : COLUMBUS
State : OH
Zip : 43210-1239
Country : US
Telephone Number : 614-688-8689
Fax Number :
Provider Business Practice Location Address
First Line : 333 W 10TH AVE
Second Line : 4162 GRAVES HALL
City : COLUMBUS
State : OH
Zip : 43210-1239
Country : US
Telephone Number : 614-688-8689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 08/16/2012

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Directions to “ ANGELA INES RUIZ MD” Practice Location

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