Individual
MICHAEL DAVID RUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3300 BURTON SE, SUITE B, GRAND RAPIDS, MI 49546-4398
(616) 957-2576
(616) 957-2576
Mailing address
3300 BURTON ST SE STE 106, GRAND RAPIDS, MI 49546-4398
(616) 957-2576
(616) 957-2576
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005183
MI
Other
Enumeration date
10/05/2006
Last updated
01/07/2019
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