Individual
RUTH RANUM MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6100 S LOUISE AVE STE 2100, SIOUX FALLS, SD 57108-6029
(605) 504-1100
Mailing address
6100 S LOUISE AVE STE 2100, SIOUX FALLS, SD 57108-6029
(605) 504-1100
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
240
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2014
Last updated
09/29/2020
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