Provider Demographics
NPI:1275538753
Name:RUESCH, GINA L (DPM)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:L
Last Name:RUESCH
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Gender:F
Credentials:DPM
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-8386
Practice Address - Street 1:435 PHALEN BLVD - MS 51103E
Practice Address - Street 2:HEALTHPARTNERS SPECIALTY CENTER
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-5302
Practice Address - Country:US
Practice Address - Phone:651-254-8380
Practice Address - Fax:651-254-8386
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2012-04-25
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Provider Licenses
StateLicense IDTaxonomies
MN716213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN206914800Medicaid
MN206914800Medicaid
MNU95670Medicare UPIN