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Individual

DAVID J RUTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1970 S RIDGE RD, GREEN BAY, WI 54304-4125
(920) 430-4888
(920) 430-4889
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301096584
MI
207X00000X
Orthopaedic Surgery Physician
60568
MN
207X00000X
Orthopaedic Surgery Physician
Primary
66118-20
WI

Other

Enumeration date
06/16/2010
Last updated
07/23/2020
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