Mary Ruddy is a Surgical in Detroit, Michigan. Mary Ruddy practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mary Ruddy is 1164541058. The last update date is 2007-07-08.
Mary Ruddy's current location address is 3990 John R St, Detroit, Michigan. You can contact this provider via phone number 3137458040. The mailing address for Mary Ruddy is 3990 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ruddy |
|---|---|
| Address | 3990 John R St, Detroit, Michigan |
| Phone Number | 3137458040 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164541058 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3990 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012018 |
| Phone Number | 3137458040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 5601004329 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary Ruddy by the Centers for Medicare & Medicaid Services?
The Mary Ruddy has been assigned the NPI (National Provider Identifier) 1164541058. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary Ruddy's facilities are situated?
The facilities of Mary Ruddy are physically located at the following address: 3990 John R St, Detroit, MI, 482012018.
What is the Mary Ruddy's specialty and taxonomy code?
The Mary Ruddy's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did Mary Ruddy receive its 1164541058 assignment from the Centers for Medicare & Medicaid Services?
The Mary Ruddy was assigned its 1164541058 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary Ruddy most recently updated?
The details pertaining to the Mary Ruddy, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.