Individual
SHELENE S. RUGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N DETROIT ST, LAGRANGE, IN 46761-1158
(260) 463-2133
(260) 463-3775
Mailing address
PO BOX 236, LAGRANGE, IN 46761-0236
(260) 463-2133
(260) 463-3775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01062633A
IN
208M00000X
Hospitalist Physician
01062633A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488751
ANTHEM
IN
05
—
200832040
—
IN
05
—
2718303
—
OH
01
—
P00390092
RAILROAD
—
Enumeration date
08/30/2006
Last updated
04/28/2025
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