Organization
THEODORE J RUZA DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE J RUZA D.O. (OWNER)
(248) 626-4600
Entity
Organization
Contact information
Practice address
7001 ORCHARD LAKE RD, SUITE 424, WEST BLOOMFIELD, MI 48322-3604
(248) 626-4600
(248) 626-3988
Mailing address
7001 ORCHARD LAKE RD, SUITE 424, WEST BLOOMFIELD, MI 48322-3604
(248) 626-4600
(248) 626-3988
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
TR009905
MI
2084P0800X
Psychiatry Physician
Primary
TR009905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2805977
—
MI
01
—
5631523
BCBS ID NUMBER
MI
Enumeration date
05/09/2007
Last updated
09/11/2025
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