Individual
DUANE P RUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
204 S ATLANTIC, HALLOCK, MN 56728
(218) 843-2663
(218) 843-2665
Mailing address
PO BOX 549, PARK RAPIDS, MN 56470-0549
(218) 732-8535
(218) 732-6957
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1836
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553718500
—
MN
01
—
63520MC
BCBS OF MN
—
Enumeration date
02/14/2006
Last updated
04/12/2024
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