Individual
DR. MICHAEL A RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1444 W 38TH ST, ERIE, PA 16508-2324
(814) 866-5141
(814) 864-1258
Mailing address
3910 CAUGHEY RD, STE 130, ERIE, PA 16506-4097
(814) 833-3668
(888) 329-6120
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC-004630-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019415170002
—
PA
01
—
1437498
HIGHMARK BLUE CROSS BLUE SHIELD
PA
01
—
3115582
AETNA HMO
PA
01
—
480035188
MEDICARE RRB
PA
Enumeration date
12/05/2005
Last updated
01/15/2020
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