Individual
SHEILA R RUSCHMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1230 E MAIN ST, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
1230 E MAIN ST, PO BOX 8674, MANKATO, MN 56001-5066
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39422
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0580704
—
IA
01
—
117686
UCARE
MN
01
—
1201494
MEDICA
MN
01
—
1645201
AMERICAS PPO
MN
01
—
41084933956001C110
CHAMPUS
—
01
—
41B80RU
BCBS
MN
05
—
848526700
—
MN
01
—
HP29361
HEALTH PARTNERS
MN
01
—
NA2951023859
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/15/2020
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