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Organization
MEDICAL MOBILE PODIATRY, PLLC
Active
Organization
MEDICAL MOBILE PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE B RUBIN (MEDICAL DIRECTOR)
(313) 273-9400
Entity
Organization
Contact information
Practice address
24293 TELEGRAPH RD STE 212, SOUTHFIELD, MI 48033-7903
(734) 493-1662
Mailing address
18530 GRAND RIVER AVE, DETROIT, MI 48223-2319
(313) 273-9400
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000839
MI
Other
Enumeration date
11/26/2013
Last updated
10/05/2021
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