Individual
MARTIN JAMES RUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49443
(231) 739-9341
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-5211
(231) 727-4571
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704118618
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104358050
—
MI
01
—
MR118618
BCBS
MI
Enumeration date
06/04/2006
Last updated
03/17/2018
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