Individual
DAWN M RUECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2102 FREEMAN PKWY, BELOIT, WI 53511-1971
(815) 398-9491
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209022966
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
5091-33
WI
Other
Enumeration date
04/10/2007
Last updated
06/28/2023
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