IndividualActive
Douglas Ruzicka, PA-C
NPI 1932170966 · Medical Physician Assistant · Fairbury, NE
Provider details
- NPI number
- 1932170966
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 269000 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
825 22nd St
Fairbury, NE 68352-1221
Phone: (402) 729-3361
Approximate (ZIP-level) locationGet directions
Mailing address
825 22nd St
Fairbury, NE 68352-1221
Registry dates
- Enumerated
- 2006-01-28
- Last updated
- 2008-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.