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1316472905
FREDERICK LLOYD RUCKERSFELDT
SOUTH BEND, IN
NPI
1316472905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01084032A)
Enumeration Date
2017-04-20
Last Update Date
2021-04-05
Business Address
FREDERICK LLOYD RUCKERSFELDT MD
714 N MICHIGAN ST
SOUTH BEND, IN 46601-1035
Phone number: 574-647-7477
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Mailing Address
FREDERICK LLOYD RUCKERSFELDT MD
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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