Individual
ALEXANDER GRANT RUTHVEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 10TH ST, HURON FAMILY PRACTICE CENTER, PORT HURON, MI 48060-5205
(810) 987-6200
(810) 987-8717
Mailing address
1225 10TH ST, PORT HURON, MI 48060-5205
(810) 987-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301030880
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3042443
—
MI
01
—
4301030880
PHYSICIAN LICENSE
MI
Enumeration date
07/06/2006
Last updated
04/07/2008
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