Organization
PAUL G. RUFF, M.A., L.P., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL GEORGE RUFF M.A., L.P. (PRESIDENT)
(651) 690-1414
Entity
Organization
Contact information
Practice address
241 CLEVELAND AVE S STE 3D, SAINT PAUL, MN 55105-1263
(651) 690-1414
Mailing address
241 CLEVELAND AVE S STE 3D, SAINT PAUL, MN 55105-1263
(651) 690-1414
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LP 2190
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17F50RU
BLUE CROSS BLUE SHIELD
MN
Enumeration date
01/17/2007
Last updated
08/22/2020
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