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Individual
MR. JUSTIN MICHAEL RUTT
Active
Individual
MR. JUSTIN MICHAEL RUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1578950804
MI
207Q00000X
Family Medicine Physician
5101021600
MI
Other
Enumeration date
04/24/2015
Last updated
04/10/2025
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