# CORY J RUBIN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michigan Dermatology Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518513902
- **Authorized official:** DR. CORY JOSHUA RUBIN MD (OWNER)
- **Authorized official phone:** (248) 681-9541

## Contact information

- **Practice address:** 2665 ELIZABETH LAKE RD, WATERFORD, MI 48328-3277
- **Practice address phone:** (248) 685-9541
- **Practice address fax:** (248) 681-9581
- **Mailing address:** 2665 ELIZABETH LAKE RD, WATERFORD, MI 48328-3277
- **Mailing address phone:** (248) 681-9541
- **Mailing address fax:** (248) 681-9581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207NI0002X | Clinical & Laboratory Dermatological Immunology Physician | — | NULL | Yes |
| 207NI0002X | Clinical & Laboratory Dermatological Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2019
- **Last updated:** 08/05/2024