Individual
MR. ERIC J RUETTGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
10 BARNES WEST DR, DIV IM GASTROENTEROLOGY, STE 200, SAINT LOUIS, MO 63141-6287
(314) 747-1171
(314) 362-3192
Mailing address
660 S EUCLID AVE, CB 8058, SAINT LOUIS, MO 63110-1010
(314) 747-1171
(314) 362-3192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110404
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424591709
—
MO
Enumeration date
05/21/2007
Last updated
11/15/2021
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