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Individual
RUTH A RYDSTEDT
Active
Individual
RUTH A RYDSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301039926
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1387291
—
MI
01
—
700E04360
BCBS OF MI
—
Enumeration date
07/02/2005
Last updated
12/22/2020
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