Individual
MRS. JOREE A RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC DERMATOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-1569
(414) 266-3315
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC DERMATOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-1569
(414) 266-3315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1504
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009000261E
HUMANA
—
05
—
1972559136
—
WI
Enumeration date
05/26/2006
Last updated
07/13/2023
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