Individual
RUDOLPH P. VALENTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CHILDRENS HOSPITAL OF MICHIGAN, 3901 BEAUBIEN BLVD - NEPHROLOGY, DETROIT, MI 48201
(313) 745-5604
(313) 966-0039
Mailing address
4201 ST. ANTOINE - UHC 5D MAILBOX 226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
4301060863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
339919310
—
MI
01
—
700H262280
BLUE CROSS-BLUE CROSS
—
01
—
RV060863
CHAMPUS-CHAMPUS
—
Enumeration date
06/08/2006
Last updated
01/20/2017
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