Provider Demographics
NPI:1306148200
Name:KANTROWITZ, RUTH SHAER
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:SHAER
Last Name:KANTROWITZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10042 N BROOKDALE DR
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-5702
Mailing Address - Country:US
Mailing Address - Phone:414-534-2979
Mailing Address - Fax:262-292-8184
Practice Address - Street 1:10042 N BROOKDALE DR
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-5702
Practice Address - Country:US
Practice Address - Phone:414-534-2979
Practice Address - Fax:262-292-8184
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-27
Last Update Date:2010-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator