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

Thomas Ruffalo, PA

Individual provider Physician Assistant · NPI 1063407013

Thomas Ruffalo, PA is a Physician Assistant in Oconomowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

791 Summit Ave
Oconomowoc, WI 53066-3844
Phone: (262) 569-9119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 657-023 (WI)

Record details

NPI number1063407013
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESJuly 8, 2007
Mailing address541 S Sawyer Rd, Oconomowoc, WI 53066-9243

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