Individual
DR. MARK RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 N SHADELAND AVE, SUITE 105, INDIANAPOLIS, IN 46219-1787
(317) 396-2350
Mailing address
2525 N SHADELAND AVE, SUITE 105, INDIANAPOLIS, IN 46219-1787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01056844A
IN
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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