Individual
DR. MADISON MOORE RUELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15951 W 65TH ST, SHAWNEE, KS 66217-9342
(913) 268-9190
(913) 268-2654
Mailing address
15951 W 65TH ST, SHAWNEE, KS 66217-9342
(913) 268-9190
(913) 268-2654
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1989
KS
Other
Enumeration date
06/19/2014
Last updated
11/07/2022
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