Individual
MR. JAIME G RUVALCABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(414) 672-4265
Mailing address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(414) 672-4265
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34751020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31974900
—
WI
Enumeration date
06/08/2006
Last updated
10/18/2017
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