Individual
OMARI ADISA RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
18010 MUIRLAND ST, DETROIT, MI 48221-2755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
309884
LA
207P00000X
Emergency Medicine Physician
Primary
4301089795
MI
207P00000X
Emergency Medicine Physician
46288
TN
Other
Enumeration date
08/06/2007
Last updated
09/28/2018
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