Organization
GARY S RUOFF DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S RUOFF D.O. (PHYSICIAN)
(231) 935-0580
Entity
Organization
Contact information
Practice address
201 S GARFIELD AVE, TRAVERSE CITY, MI 49686-2960
(231) 935-0580
(231) 935-0584
Mailing address
201 S GARFIELD AVE, TRAVERSE CITY, MI 49686-2960
(231) 935-0580
(231) 935-0584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013402
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4321711
—
MI
01
—
H13875
UPIN
MI
Enumeration date
04/28/2008
Last updated
04/28/2008
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