Provider Demographics
NPI:1649159039
Name:RUEDA WILL, MARISA SARITA (CHI)
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:SARITA
Last Name:RUEDA WILL
Suffix:
Gender:F
Credentials:CHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2517 NORTHRIDGE LN NE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-4083
Mailing Address - Country:US
Mailing Address - Phone:507-272-8263
Mailing Address - Fax:
Practice Address - Street 1:2517 NORTHRIDGE LN NE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-4083
Practice Address - Country:US
Practice Address - Phone:507-272-8263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter