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NPI Code Detail

MEDICARE: CARMELITE RUSKOWSKI

MEDICARE: CARMELITE RUSKOWSKI
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
1207QA0505XAdult Medicine PhysicianAPRN.CNP.0031226OH

General Provider Information

NPI Number : 1871238592
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMELITE RUSKOWSKI
Provider Business Mailing Address
First Line : 1050 FORRER BLVD STE 250
Second Line :
City : KETTERING
State : OH
Zip : 45420-3640
Country : US
Telephone Number : 800-986-4801
Fax Number : 937-684-9990
Provider Business Practice Location Address
First Line : 1050 FORRER BLVD STE 250
Second Line :
City : KETTERING
State : OH
Zip : 45420-3640
Country : US
Telephone Number : 800-986-4801
Fax Number : 937-684-9990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2022
Last Update Date : 02/18/2026

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Directions to “ CARMELITE RUSKOWSKI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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