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Individual

DR. RONALD ALLEN RUBENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
31157 WOODWARD AVE, ROYAL OAK, MI 48073-0926
(248) 336-0123
(248) 336-3190
Mailing address
31157 WOODWARD AVE, ROYAL OAK, MI 48073-0926
(248) 336-0123
(248) 336-3190

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5315025904
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3406358422
BCBSM INDIVIDUAL NUMBER
MI
05
4973550
MI
01
I45104
HAP
MI
01
RR087435
BCBSM LICENSE NUMBER
MI
Enumeration date
07/17/2006
Last updated
07/14/2007
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