Individual
DR. JOSEPH W RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3221 STEIN BLVD, EAU CLAIRE, WI 54701-4398
(715) 833-2116
(715) 833-1068
Mailing address
3221 STEIN BLVD, EAU CLAIRE, WI 54701-4398
(715) 833-2116
(715) 833-1068
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26172
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300044
MEDICA
WI
05
—
30593200
—
WI
01
—
391528316014
BLUE CROSS OF WI
WI
Enumeration date
06/21/2005
Last updated
11/20/2008
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