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

Individual provider Emergency Medicine Physician · NPI 1932273943

Theodore Wenner Ruzanic, MD is an Emergency Medicine in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2005, 21 years ago. Practices with St Cloud Hospital, a 215-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006
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

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 49227 (MN)

Record details

NPI number1932273943
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address4322 Pleasant Ave, Minneapolis, MN 55409-1922

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice St Cloud Hospital — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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