Individual
MR. THOMAS J RUFLEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1502 MAIN ST, BLOOMER, WI 54724-1686
(715) 568-2363
(715) 568-2373
Mailing address
1502 MAIN ST, BLOOMER, WI 54724-1686
(715) 568-2363
(715) 568-2373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5001844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33350400
—
WI
Enumeration date
06/20/2007
Last updated
07/08/2007
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