Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack William Ruske, MD

Individual provider Internal Medicine Physician · NPI 1124878012

Jack William Ruske, MD is an Internal Medicine Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 N 1900 E
Salt Lake City, UT 84132-0002
Phone: (801) 581-7606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 14246307-1205 (UT)

Record details

NPI number1124878012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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