Individual
SCOTT LEWIS RUGGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
670 CORMIER ROAD, GREEN BAY, WI 54304-4824
(920) 494-9685
(920) 494-9687
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
44472
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34209800
—
WI
Enumeration date
08/16/2006
Last updated
03/07/2023
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