Individual
CHARLES RUEGEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15245 BLUEBIRD ST NW, ANDOVER, MN 55304-3538
(763) 587-4688
Mailing address
5745 YUCCA LN N, PLYMOUTH, MN 55446-3532
(612) 702-7758
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06080
NC
363A00000X
Physician Assistant
Primary
12377
MN
Other
Enumeration date
11/28/2015
Last updated
01/15/2024
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