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NPI Code Detail

MEDICARE: DANIEL IAN RUTER MD

MEDICARE:   DANIEL IAN RUTER  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
12086S0122XPlastic and Reconstructive Surgery Physician330934NY

General Provider Information

NPI Number : 1932605490
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL IAN RUTER MD
Provider Business Mailing Address
First Line : 3107 E GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13224-1646
Country : US
Telephone Number : 315-299-5313
Fax Number :
Provider Business Practice Location Address
First Line : 3107 E GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13224-1646
Country : US
Telephone Number : 315-299-5313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 08/09/2024

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Directions to “ DANIEL IAN RUTER MD” Practice Location

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