Individual
RENEE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
105 COMMERCE DR, BROCKWAY, MI 48097-3460
(810) 387-9612
(810) 387-9611
Mailing address
105 COMMERCE DR, BROCKWAY, MI 48097-3460
(810) 387-9612
(810) 387-9611
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704230062
MI
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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