Individual
STACEY MARIE RUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1949 W 12 MILE RD, #100, BERKLEY, MI 48072-1868
(248) 551-1756
(248) 551-9566
Mailing address
1949 W 12 MILE RD, #100, BERKLEY, MI 48072-1868
(248) 551-8305
(248) 551-1245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101018589
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
5101018589
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5101018589
MI
Other
Enumeration date
04/21/2010
Last updated
10/23/2020
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