Gordon J Ruan, MD
Internal Medicine, Hematology & Oncology in Rochester, MN. Individual provider (NPI-1).
NPI number1982109369
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1982109369
- Entity type
- Individual (NPI-1)
- Name
- Gordon J Ruan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2018
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 65920 | MN | Yes |
| 207R00000X | Internal Medicine | 29200 | MN | |
| 207R00000X | Internal Medicine | 65920 | MN |
Practice location
200 1st St SwRochester, MN 55905
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
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