Individual
STEPHANIE RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5880 OAKVILLE WALTZ RD, NEW BOSTON, MI 48164-9668
(734) 770-7236
Mailing address
5880 OAKVILLE WALTZ RD, NEW BOSTON, MI 48164-9668
(734) 770-7236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704360682
MI
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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