Individual
DR. JONATHAN M RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF EMERGENCY MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6451
(414) 805-6464
Mailing address
9200 W WISCONSIN AVE, DEPT OF EMERGENCY MEDICINE, MILWAUKEE, WI 53226-3522
(414) 805-6451
(414) 805-6464
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33113
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000140N
HUMANA
—
05
—
1346293115
—
WI
Enumeration date
05/19/2006
Last updated
04/25/2014
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