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Individual
BRIAN JAMES RUGGLE
Active
Individual
BRIAN JAMES RUGGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-38413
KS
207Q00000X
Family Medicine Physician
Primary
56703
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002326
MEDICARE PTAN
KS
05
—
1437419603
—
MN
05
—
201120340A
—
KS
01
—
P01224928
RR MEDICARE
—
Enumeration date
05/22/2012
Last updated
08/03/2020
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