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Individual

DR. STUART J RUPKE

Active
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Individual

DR. STUART J RUPKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301071163
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0730226
BCBSM
MI
01
—
080119306
RAILROAD MEDICARE
MI
01
—
080G376200
BCBSM
MI
01
—
102436
GREAT LAKES HEALTH PLAN
MI
05
—
1083639199
—
MI
01
—
381870664
PPOM
MI
01
—
39202
COMMUNITY CHOICE MICHIGAN
MI
01
—
4650563
AETNA
MI
01
—
SR071163
LICENSE
MI
Enumeration date
07/12/2006
Last updated
02/06/2009
About Stedi
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