Provider Demographics
NPI:1194767483
Name:RUZGA, CLAUDINE E (PA)
Entity type:Individual
Prefix:
First Name:CLAUDINE
Middle Name:E
Last Name:RUZGA
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1220 BEMIS HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-6004
Mailing Address - Country:US
Mailing Address - Phone:219-886-4710
Mailing Address - Fax:
Practice Address - Street 1:600 GRANT ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46402-6001
Practice Address - Country:US
Practice Address - Phone:219-886-4000
Practice Address - Fax:904-805-1302
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN10000843A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant