Individual
CYNTHIA K RUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2585 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9624
(989) 366-2900
(989) 366-1166
Mailing address
2585 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9624
(989) 366-2900
(989) 366-1166
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301073701
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200650032
BXBS
MI
05
—
4120123
—
MI
Enumeration date
04/20/2006
Last updated
12/29/2020
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