Individual
GEORGE M RUTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M., F.A.C.F.A.S.
Contact information
Practice address
3663 RIDGE MILL DR, SUITE 104, HILLIARD, OH 43026-7799
(614) 529-7800
(614) 529-7802
Mailing address
3663 RIDGE MILL DR, SUITE 104, HILLIARD, OH 43026-7799
(614) 529-7800
(614) 529-7802
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001740
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0743593
—
OH
01
—
P00252830
RAILROAD MEDICARE
OH
Enumeration date
05/24/2005
Last updated
03/12/2013
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