Individual
MR. MICHAEL D RUBATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
103 WEST U.S. 2, WAKEFIELD, MI 49968
(906) 229-6120
(906) 229-6191
Mailing address
200 W COOLIDGE AVE, IRONWOOD, MI 49938-1104
(906) 932-1467
(906) 229-6191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801087411
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801087411
LIMITED LICENSED MSW
MI
Enumeration date
05/17/2007
Last updated
07/08/2007
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