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Contact Information

THEODORE J RUZA DO PC
7001 ORCHARD LAKE RD
SUITE 424
WEST BLOOMFIELD, MI48322-3604
 Phone: 248-626-4600
 Fax: 248-626-3988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THEODORE J RUZA DO PC

NPI # 1033323449
LBN Legal business name THEODORE J RUZA DO PC
Authorized official THEODORE RUZA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
MI License # TR009905
MI Medicaid 2805977
MI Other 5631523 BCBS ID NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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