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Individual

JONATHAN A. RUETER

Active
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Individual

JONATHAN A. RUETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085004029
IL
363A00000X
Physician Assistant
Primary
086315
IA
363AS0400X
Surgical Physician Assistant
085004029
IL
363AS0400X
Surgical Physician Assistant
086315
IA

Other

Enumeration date
07/22/2011
Last updated
04/21/2025
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