Individual
MIGUEL A RUIZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4730 CHICAGO AVE # MS 26602G, MINNEAPOLIS, MN 55407-3570
(952) 883-6805
(952) 853-8864
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 883-6805
(952) 853-8864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38315
MN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
38315
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517014100
—
MN
Enumeration date
02/01/2006
Last updated
12/30/2020
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