Individual
JACK WILLIAM RUSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7606
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(617) 710-4466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14246307-1205
UT
Other
Enumeration date
03/25/2024
Last updated
10/29/2025
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