Individual
STEPHANIE R RUALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9821 LIMA RD STE 103, FORT WAYNE, IN 46818-9281
(260) 234-5400
(260) 234-5395
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01073005A
IN
Other
Enumeration date
11/21/2011
Last updated
11/27/2024
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