Individual
DR. MICHAEL L RUYGROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-7142
Mailing address
6475 S IVY CT, CENTENNIAL, CO 80111-4311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
053563
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024945
KASIER COMMERCIAL NUMBER
CO
05
—
51270374
—
CO
Enumeration date
04/13/2011
Last updated
11/14/2014
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