Individual
SUN YOUNG RUGGERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13800 W NORTH AVE, STE 100, BROOKFIELD, WI 53005-4974
(262) 754-4488
(262) 754-4940
Mailing address
13800 W NORTH AVE, STE 100, BROOKFIELD, WI 53005-4974
(262) 754-4488
(262) 754-4940
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
47562-202
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34925900
—
WI
01
—
475622000002
BLUE CROSS BLUE SHEILD
WI
01
—
P00430684
RAILROAD MEDICARE
WI
Enumeration date
11/15/2006
Last updated
07/26/2022
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