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Individual

SHARON J RUGGIERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 6TH AVE N, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, ST CLOUD, MN 56303
(320) 252-5131
(320) 240-2118

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36697
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0429560
MEDICA HEALTH PLANS
01
110916
UCARE
01
119001629
MEDICARE
01
2114097
FIRST HEALTH PLAN
01
600824
ARAZ GROUP AMERICAS PPO
01
602565000
MEDICAL ASSISTANCE MA
01
6D086RU
BLUE CROSS BLUE SHIELD
01
986027
PREFERRED ONE
01
HP22738
HEALTH PARTNERS
Enumeration date
10/25/2005
Last updated
12/05/2011
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