Individual
MARY RUGGERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7748 MAIN ST N, MAPLE GROVE, MN 55369-1900
(763) 494-9939
Mailing address
7748 MAIN ST N, MAPLE GROVE, MN 55369-1900
(763) 494-9939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14121
TX
Other
Enumeration date
12/27/2019
Last updated
08/21/2023
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