Individual
DR. MARTIN L DE RUYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, DEPT ANESTHESIOLOGY, MAIL STOP 1034, KANSAS CITY, KS 66160
(913) 588-6670
(913) 588-3365
Mailing address
3901 RAINBOW BLVD, DEPT ANESTHESIOLOGY, MAIL STOP 1034, KANSAS CITY, KS 66160
(913) 588-6670
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-30537
KS
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
04-30537
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200263180A
—
KS
05
—
209352103
—
MO
01
—
34101011
BCBS KANSAS CITY
MO
01
—
476960
FIRSTGUARD
KS
Enumeration date
09/25/2006
Last updated
04/16/2016
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