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Individual

FRANCIS X RUZICKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 S 70TH ST, WEST ALLIS, WI 53214-3147
(414) 773-6600
(414) 773-6672
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 773-6600
(414) 773-6672

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33557
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31988300
WI
Enumeration date
03/24/2006
Last updated
06/12/2012
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