Individual
THEODORE J RUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO PC
Contact information
Practice address
7100 BERRYHILL ST, WEST BLOOMFIELD, MI 48322-5101
(248) 847-0070
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 876-4806
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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