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

Individual provider Physician Assistant · NPI 1811536600

Mary Ruggeri, PA-C is a Physician Assistant in Maple Grove, Minnesota. Works from 3 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7748 Main St N
Maple Grove, MN 55369-1900
Phone: (763) 494-9939
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Church St S Ste A230, New Haven, CT 06519-1703 — (203) 737-2284
  • 4407 Bee Caves Rd, West Lake Hills, TX 78746-6496 — (512) 902-6920

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14121 (TX)

Record details

NPI number1811536600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 27, 2019
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023

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