Provider Demographics
NPI:1629013693
Name:SHELDON, RUTH T (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:T
Last Name:SHELDON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:313 OZARK TRL
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2534
Mailing Address - Country:US
Mailing Address - Phone:608-238-1209
Mailing Address - Fax:608-238-7675
Practice Address - Street 1:2727 MARSHALL COURT
Practice Address - Street 2:PSSC
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705
Practice Address - Country:US
Practice Address - Phone:608-238-9354
Practice Address - Fax:608-238-7675
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13192-0202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31019800Medicaid
WI13192-020OtherSTATE MEDICAL LICENSE