Individual
DR. GUSTAVE THEODORE RUCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
990 SOUTH AVE, SUITE 103, ROCHESTER, NY 14620-2740
(585) 232-3210
(585) 232-4657
Mailing address
990 SOUTH AVE, SUITE 103, ROCHESTER, NY 14620-2740
(585) 232-3210
(585) 232-4657
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
114643
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00471843
—
NY
Enumeration date
11/15/2006
Last updated
07/09/2007
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