Individual
ANDRE RUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905C S FRONTAGE RD, MERIDIAN, MS 39301-6113
(601) 482-4955
Mailing address
905C S FRONTAGE RD, MERIDIAN, MS 39301-6113
(601) 482-4955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T4773
MS
208D00000X
General Practice Physician
P105708
NY
Other
Enumeration date
09/15/2020
Last updated
07/02/2022
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