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Individual

RUTH L MOES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
855 MANKATO AVENUE, WINONA, MN 55987-0006
(507) 457-4484
(507) 457-4160
Mailing address
855 MANKATO AVENUE, PO BOX 5600, WINONA, MN 55987-0006
(507) 457-4160
(507) 457-4160

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
33132
MN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
33132
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145R5MO
BLUE CROSS BLUE SHIELD MN
05
34150800
WI
Enumeration date
08/07/2006
Last updated
09/11/2025
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