Individual
DR. MICHAEL ROBERT RUEBHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 W HAY ST STE 200, DECATUR, IL 62526-4171
(217) 545-8000
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036148741
IL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
036148741
IL
2086S0122X
Plastic and Reconstructive Surgery Physician
036148741
IL
Other
Enumeration date
06/24/2013
Last updated
07/11/2024
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