Individual
DR. GAYLE ANNE RUGGIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-3290
(269) 387-4494
Mailing address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-3290
(269) 387-4494
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35.092179
OH
2084P0800X
Psychiatry Physician
Primary
4301101958
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003063025
—
MI
01
—
540C913500
BCBSM DME
MI
01
—
690C900880
BCBSM LAB
MI
01
—
700C947350
BCBS OF MICHIGAN
MI
Enumeration date
08/20/2008
Last updated
11/06/2012
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