Scott Lewis Ruggles, MD
Colon & Rectal Surgery in Green Bay, WI. Individual provider (NPI-1).
NPI number1174636062
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1174636062
- Entity type
- Individual (NPI-1)
- Name
- Scott Lewis Ruggles
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2006
- Certification date
- Mar 6, 2020
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 44472 | WI | Yes |
Practice location
835 S Van Buren StGreen Bay, WI 54301-3526
Phone 920-433-0111
Mailing address
670 Cormier RoadGreen Bay, WI 54304-4824
Phone 920-494-9685 · Fax 920-494-9687
Other practice locations
670 Cormier Road
Green Bay, WI 54304-4824
Green Bay, WI 54304-4824
Phone 920-494-9685 · Fax 920-494-9687
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