Provider Demographics
NPI:1578670832
Name:RUH, PAUL JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JAMES
Last Name:RUH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4109 OAKWOOD HILLS PARKWAY
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-8888
Mailing Address - Country:US
Mailing Address - Phone:715-552-7303
Mailing Address - Fax:715-552-7355
Practice Address - Street 1:4109 OAKWOOD HILLS PARKWAY
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-8888
Practice Address - Country:US
Practice Address - Phone:715-552-7303
Practice Address - Fax:715-552-7355
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI38385207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32288500Medicaid
WI32288500Medicaid
38108-0031Medicare ID - Type UnspecifiedMEDICARE PROVIDER
WI32288500Medicaid