Individual
MICHAEL RUK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNP
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107
(215) 955-6060
Mailing address
111 S 12TH ST, PHILADELPHIA, PA 19107-4803
(215) 955-6060
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
26NJ00788000
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
SP018175
PA
Other
Enumeration date
12/12/2017
Last updated
08/01/2018
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