Individual
DR. PETER RUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5626 N 91ST ST STE 301, MILWAUKEE, WI 53225-2745
(414) 461-1088
(414) 461-1049
Mailing address
8232 N 53RD ST, BROWN DEER, WI 53223-3521
(414) 371-1147
(414) 461-1049
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43735600
—
WI
Enumeration date
07/14/2008
Last updated
07/14/2008
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