Provider Demographics
NPI:1902091408
Name:RAMSTORF, BRUCE ALLEN
Entity Type:Individual
Prefix:
First Name:BRUCE
Middle Name:ALLEN
Last Name:RAMSTORF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2067 245TH ST
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MN
Mailing Address - Zip Code:56510-9144
Mailing Address - Country:US
Mailing Address - Phone:218-784-2983
Mailing Address - Fax:
Practice Address - Street 1:510 PAREDES LINE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2438
Practice Address - Country:US
Practice Address - Phone:956-542-3714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-08
Last Update Date:2007-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility