Individual
JEREL RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
329 E LAWRENCE AVE, ROYAL OAK, MI 48073-3449
(248) 227-9536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704324747
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704324747
MI
Other
Enumeration date
07/06/2024
Last updated
06/18/2025
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