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Individual

DR. HOLLY NICOLE RUBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
32100 TELEGRAPH RD STE 110, BINGHAM FARMS, MI 48025-2408
(248) 644-1221
(248) 644-2748
Mailing address
32100 TELEGRAPH RD STE 110, BINGHAM FARMS, MI 48025-2408
(248) 644-1221
(248) 644-2748

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101023836
MI
208000000X
Pediatrics Physician
Primary
5101026243
MI

Other

Enumeration date
06/18/2018
Last updated
05/14/2021
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