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Individual

DR. EDWARD RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
51850 DEQUINDRE RD, SUITE 5, SHELBY TOWNSHIP, MI 48316-2806
(248) 651-1010
(586) 997-4279
Mailing address
51850 DEQUINDRE RD, SUITE 5, SHELBY TOWNSHIP, MI 48316-2806
(248) 651-1010
(586) 997-4279

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301061025
MI
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
ER061025
MI
207NS0135X
Procedural Dermatology Physician
ER061025
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104327804
MI
Enumeration date
04/25/2006
Last updated
03/07/2011
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