Individual
MR. NEAL CRAIG RUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-8877
(320) 321-8200
Mailing address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-8877
(320) 269-8186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8979
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382103000
—
MN
Enumeration date
11/21/2005
Last updated
12/16/2021
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