Individual
THEODORE J RUZA
Active
Individual
THEODORE J RUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO PC
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101009905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063237
VALUE OPTIONS
—
01
—
093876000
MAGELLAN
—
01
—
260017749
PALMETTO GBA
—
01
—
2756315234
BLUE CROSS BLUE SHIELD
MI
01
—
2756337455
BLUE CROSS BLUE SHIELD
MI
05
—
2805977
—
MI
01
—
4261534
AETNA
—
01
—
511709
CARE CHOICES
MI
Enumeration date
01/17/2007
Last updated
08/05/2025
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