Individual
RUBEN NGNITEWE MASSA A
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1281 TWISTED BRANCH WAY, SUN PRAIRIE, WI 53590-9012
(913) 980-3405
Mailing address
1281 TWISTED BRANCH WAY, SUN PRAIRIE, WI 53590-9012
(913) 980-3405
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01098657A
IN
2085R0202X
Diagnostic Radiology Physician
38889
NH
2085R0202X
Diagnostic Radiology Physician
4301515674
MI
2085R0202X
Diagnostic Radiology Physician
Primary
8241820
WI
2085R0202X
Diagnostic Radiology Physician
MD.52956
AL
2085R0202X
Diagnostic Radiology Physician
MD228042
OR
2085R0202X
Diagnostic Radiology Physician
MD29939
ME
208600000X
Surgery Physician
2020014721
MO
208D00000X
General Practice Physician
82418-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020014721
MO BOARD OF HEALING ARTS
MO
Enumeration date
06/05/2020
Last updated
05/08/2026
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