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Individual

DR. DONALD P RUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
511 W MURDOCK AVE, OSHKOSH, WI 54901-2213
(920) 233-7825
(920) 233-7825
Mailing address
511 W MURDOCK AVE, OSHKOSH, WI 54901-2213
(920) 233-7825
(920) 233-7825

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1710-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38510300
WI
Enumeration date
09/20/2006
Last updated
03/25/2015
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