Organization
LAWRENCE B RUBIN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE BLAKE RUBIN DPM (PRESIDENT OWNER)
(313) 273-9400
Entity
Organization
Contact information
Practice address
18530 GRAND RIVER, DETROIT, MI 48223
(313) 273-9400
(313) 273-5612
Mailing address
18530 GRAND RIVER, DETROIT, MI 48223
(313) 273-9400
(313) 273-5612
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901000839
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1391060
—
MI
Enumeration date
01/30/2008
Last updated
05/14/2008
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