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Individual
DR. MICHAEL A RUIZ
Active
Individual
DR. MICHAEL A RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC-004630-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019415170002
—
PA
01
—
1437498
HIGHMARK BLUE CROSS BLUE SHIELD
PA
01
—
3115582
AETNA HMO
PA
01
—
480035188
MEDICARE RRB
PA
Enumeration date
12/05/2005
Last updated
01/15/2020
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