Organization
SHARON RUBICK
Active
Other names
Medical Tec-Tronics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON ANN RUBICK RN (OWNER PRESIDENT)
(616) 813-2679
Entity
Organization
Contact information
Practice address
2411 LAKE AVE, #21, NORTH MUSKEGON, MI 49445
(616) 813-2679
(231) 719-2809
Mailing address
2411 LAKE AVE, #21, NORTH MUSKEGON, MI 49445
(616) 813-2679
(231) 719-2809
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
4704088816RN
MI
171M00000X
Case Manager/Care Coordinator
4704088816 1879905
MI
332B00000X
Durable Medical Equipment & Medical Supplies
4704088816 1878905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF10335
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/27/2006
Last updated
08/14/2008
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