Individual
KATHI RUBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29350 SOUTHFIELD RD, STE 122, SOUTHFIELD, MI 48076-2020
(313) 343-5156
Mailing address
19785 W 12 MILE RD, # 857, SOUTHFIELD, MI 48076-2584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301056318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4169920
—
MI
Enumeration date
06/16/2005
Last updated
01/14/2010
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