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Individual

WILLIAM RUBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
31046 UTICA RD, FRASER, MI 48026-2534
(586) 294-5010
(586) 294-8180
Mailing address
31046 UTICA RD, FRASER, MI 48026-2534
(586) 294-5010
(586) 294-8180

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
WR001017
MI
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2116622
MI
01
4855013
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
05/03/2006
Last updated
03/10/2008
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