Individual
MR. MICHAEL J RUEBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 WILSON CREEK ROAD, LAWRENCEBURG, IN 47025
(812) 537-1010
(812) 926-3209
Mailing address
PO BOX 643179, CINCINNATI, OH 45264-3179
(937) 293-0247
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28149223A
IN
367500000X
Certified Registered Nurse Anesthetist
NA047612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244194
ANTHEM
IN
05
—
200305070
—
IN
05
—
2231525
—
OH
01
—
430077994
RAILROAD MEDICARE
IN
Enumeration date
06/06/2006
Last updated
07/08/2007
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